| Walter J Kielkowski, CRNA | |
|
101 Stadium Dr, Morgantown, WV 26506-7911 | |
| (304) 598-4000 | |
| (304) 293-6963 |
| Full Name | Walter J Kielkowski |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 101 Stadium Dr, Morgantown, West Virginia |
| 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 |
|---|---|---|---|
| 1053370197 | NPI | - | NPPES |
| 2603458000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 63814 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter J Kielkowski, CRNA Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Walter J Kielkowski, CRNA 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4000 |
Tanya C Ammons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-285-7126 | |
Jillann M Balko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4122 | |
Taylor Elizabeth Spinosi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
David R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Lori A Rizor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 J D Anderson Dr, Monongalia Genral Hospital, Morgantown, WV 26505 Phone: 304-285-1245 Fax: 304-285-2131 | |
Amanda Renee Larew, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 French Quarters Dr, Morgantown, WV 26505 Phone: 304-376-7635 |