| Wilson Deshon Christian Iv, CRNA | |
|
1125 Madison St, Jefferson City, MO 65101-5227 | |
| (573) 632-5000 | |
| (573) 632-5876 |
| Full Name | Wilson Deshon Christian Iv |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1125 Madison St, Jefferson City, Missouri |
| 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 |
|---|---|---|---|
| 1932528296 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Christus Good Shepherd Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Deshon Christian Iv, CRNA Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Wilson Deshon Christian Iv, CRNA 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
John G Charbonneau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Carl G. Bone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Mrs. Lana Elaine Wanstreet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Larry D. Winegar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Hanna Jo Findley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 | |
Eric K. Hale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Zane Noel Hartgraves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-636-3483 Fax: 573-636-3386 |