| Tonya L Draves-wagner, CRNA | |
|
525 Couch Ave, St. Louis, MO 63122 | |
| (314) 966-1500 | |
| Not Available |
| Full Name | Tonya L Draves-wagner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 525 Couch Ave, St. Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629269337 | NPI | - | NPPES |
| 916300908 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2003021073 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya L Draves-wagner, CRNA 13523 Barrett Parkway Dr, Ste 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Tonya L Draves-wagner, CRNA 525 Couch Ave, St. Louis, MO 63122 Ph: (314) 966-1500 |
Ms. Cheryl Ann Thurman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2315 Dougherty Ferry Rd, Suite 107, St. Louis, MO 63122 Phone: 314-966-7570 Fax: 314-966-7788 | |
Mr. Robert Phillip Walsh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Ave. At Grand Blvd, St. Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 |