| Wanda C Untch, CRNA | |
|
300 W 27th St, Lumberton, NC 28358-3075 | |
| (910) 671-5000 | |
| Not Available |
| Full Name | Wanda C Untch |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 300 W 27th St, Lumberton, North Carolina |
| 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 |
|---|---|---|---|
| 1053319178 | NPI | - | NPPES |
| 8051675 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 179828 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland County Hospital System Inc | 1850204041 | 532 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda C Untch, CRNA 300 W 27th St, Attn: William J Gutekunst, Lumberton, NC 28358-3075 Ph: (910) 671-5000 | Wanda C Untch, CRNA 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 |
Amy L Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 843-661-6215 | |
Charles A Woolley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Jeffery Dale Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
William Wieties, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 Fax: 910-738-3764 | |
Bonnie G Britt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Grant Hoffman Joerger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-735-8176 |