| Wallace D Womack, CRNA | |
|
1204 N Mound St, Nacogdoches, TX 75961-4027 | |
| (936) 568-8525 | |
| Not Available |
| Full Name | Wallace D Womack |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1204 N Mound St, Nacogdoches, Texas |
| 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 |
|---|---|---|---|
| 1154691327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 688255 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbus Community Hospital | Columbus, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grasshopper Anesthesia Services Pllc | 3072882315 | 44 |
| Texas Anesthesia Partners, Pllc | 3870879828 | 22 |
| Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Entity Name | Grasshopper Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Bosque County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720540255 PECOS PAC ID: 4587997754 Enrollment ID: O20190819000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace D Womack, CRNA 2615 County Road 536, Nacogdoches, TX 75961-3931 Ph: (903) 312-8658 | Wallace D Womack, CRNA 1204 N Mound St, Nacogdoches, TX 75961-4027 Ph: (936) 568-8525 |
Ms. Nancy Joanne Batzloff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 919 County Road 2131, Nacogdoches, TX 75965 Phone: 936-560-1338 | |
Mr. Ronald Anthony Freeland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-564-4611 | |
Mr. Jerry L Mixon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 Fax: 936-462-4333 | |
Mrs. Kendra Brooks Stockman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3610 N University Dr, Nacogdoches, TX 75965 Phone: 936-254-4703 | |
Mr. James H. Newberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444 | |
Mr. Gregory Scott Wallis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444 |