| Thomas D Wills Iii, CRNA | |
|
1101 W Liberty St, Farmington, MO 63640-1921 | |
| (573) 756-6451 | |
| Not Available |
| Full Name | Thomas D Wills Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1101 W Liberty St, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942312061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 066555 (Missouri) | Primary |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040423000330 |
| Entity Name | Cpr Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20200625003307 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Wills Iii, CRNA 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6451 | Thomas D Wills Iii, CRNA 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6451 |
Richard C Dore', RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-756-4581 | |
Barbara J Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-756-4581 | |
Mr. Gregory Brent Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-760-8025 Fax: 573-760-8006 | |
Mr. Sean Vincent Baxter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6451 | |
Jeffrey W Coleman, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6451 | |
James A Smith, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 Parkland Dr, Farmington, MO 63640 Phone: 573-756-8000 Fax: 573-756-8288 | |
Mr. Charles Goshen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 |