| Patrick Wedolowski, CRNA | |
|
111 W Chester Ave Apt 2a, Middlesboro, KY 40965-2809 | |
| (331) 642-3566 | |
| Not Available |
| Full Name | Patrick Wedolowski |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 111 W Chester Ave Apt 2a, Middlesboro, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639776776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000031068 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | 291742 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Wedolowski, CRNA 111 W Chester Ave Apt 2a, Middlesboro, KY 40965-2809 Ph: (331) 642-3566 | Patrick Wedolowski, CRNA 111 W Chester Ave Apt 2a, Middlesboro, KY 40965-2809 Ph: (331) 642-3566 |
Robert R Hughes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-1100 | |
Ronny E Ivey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-1100 | |
Hubert Waylon Dunn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 859-268-1030 |