| Thomas J Wigton, CRNA | |
|
4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | |
| (231) 935-5770 | |
| (231) 935-0747 |
| Full Name | Thomas J Wigton |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4100 Park Forest Dr, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295720894 | NPI | - | NPPES |
| 430048952 | Other | MI | MEDICARE RAIL ROAD TSC |
| 1295720894 | Medicaid | MI | |
| 430B810310 | Other | MI | BCBS TSC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704185255 (Michigan) | Primary |
| Entity Name | Mercy Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366483745 PECOS PAC ID: 7012811615 Enrollment ID: O20031125000402 |
| Entity Name | Surgery Center Plc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1770577637 PECOS PAC ID: 0345141016 Enrollment ID: O20091001000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Wigton, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 | Thomas J Wigton, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 |
Scott Stone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Christina Dalton Pryde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Jonathan P Gunsberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Reid Compagner, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Munson Medical Center, 1105 Sixth Street, Traverse City, MI 49684 Phone: 231-935-7690 | |
Michelle Hodges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mona L Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Stephanie Mae Swanson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr Ste 210, Traverse City, MI 49684 Phone: 231-935-5770 |