Derrick Chate Wansom
CENTRAL TEXAS PAIN INSTITUTE PLLC


Address: 3101 Hwy 71 E, Suite 211, Bastrop, TX 78602-5157
Phone: 5124857200

Derrick Chate Wansom (NPI# 1306124912, PAC ID# 1153625470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1306124912
PAC ID by PECOS 1153625470
Professional Enrollment ID I20160810000199
Full Name Derrick Chate Wansom
Organization Legal Name CENTRAL TEXAS PAIN INSTITUTE PLLC
Address 3101 Hwy 71 E
Suite 211
Bastrop
TX 78602-5157
Phone Number 5124857200
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Group Practice PAC ID 6103802384
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450143 SETON SMITHVILLE REGIONAL HOSPITAL

Other Locations

Address Phone Organization
2500 W William Cannon Dr, Suite 206, Austin, TX 78745-5288 5124857200 CENTRAL TEXAS PAIN INSTITUTE PLLC
3101 Hwy 71 E, Suite 211, Bastrop, TX 78602-5157 5124857200 CENTRAL TEXAS PAIN INSTITUTE PLLC

Organization Information

Organization Legal Name CENTRAL TEXAS PAIN INSTITUTE PLLC
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Pankaj Mehta Pain Management Central Texas Pain Institute Pllc 3202 S W S Young Dr, Suite 102, Killeen, TX 76542-6538
Gary L Heath Pain Management Central Texas Pain Institute Pllc 10252 W Adams Ave, Temple, TX 76502-5848
John W Wages Interventional Pain Management Central Texas Pain Institute Pllc 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7641
Nicole Busch Nurse Practitioner Central Texas Pain Institute Pllc 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7641
Brittney A Misercola Nurse Practitioner Central Texas Pain Institute Pllc 1507 W Main St, Gatesville, TX 76528-1024
Rahul Sarna Anesthesiology Central Texas Pain Institute Pllc 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7641
Misti L Schroll Nurse Practitioner Central Texas Pain Institute Pllc 10252 W Adams Ave, Temple, TX 76502-5848
Umar Mahmood Pain Management Central Texas Pain Institute Pllc 10252 W Adams Ave, Temple, TX 76502-5848
Jessica Lynn Laskoskie Nurse Practitioner Central Texas Pain Institute Pllc 3202 S W S Young Dr, Suite 102, Killeen, TX 76542-6538
Kimberly Muck Nurse Practitioner Central Texas Pain Institute Pllc 4100 Duval Rd, Bldg IIi, Austin, TX 78759-4275

Office Location

Street Address 3101 HWY 71 E
SUITE 211
City BASTROP
State TX
Zip 78602-5157

Physicians in the same location

Name Specialty Organization Address
Brian L Sullivan Orthopedic Surgery Family Health Center of Bastrop Pllc 3101 Hwy 71 E, Suite 101, Bastrop, TX 78602-5159
Clyde D Smith General Surgery Family Health Center of Bastrop Pllc 3101 Hwy 71 E, Suite 101, Bastrop, TX 78602-5159
Fletcher Douglas Srygley Iv Gastroenterology Austin Gastroenterology Pa 3101 Hwy 71 E, Suite 207, Bastrop, TX 78602-5157
Paul Anthony Tucker Ii Interventional Cardiology St Davids Heart and Vascular Pllc 3101 Hwy 71 E, Suite 201 Tx Heart and Vascular, Bastrop, TX 78602-5157
Gerald V Levy Cardiovascular Disease (cardiology) St Davids Heart and Vascular Pllc 3101 Hwy 71 E, Suite 201 Tx Heart and Vascular, Bastrop, TX 78602-5157
Diana Ann Yens Rheumatology Family Health Center of Bastrop Pllc 3101 Hwy 71 E, Suite 101, Bastrop, TX 78602-5159
Vinh Dinh Nguyen Cardiovascular Disease (cardiology) St Davids Heart and Vascular Pllc 3101 Hwy 71 E, Suite 201 Tx Heart and Vascular, Bastrop, TX 78602-5157
Estela M Mota Family Medicine Family Health Center of Bastrop Pllc 3101 Hwy 71 E, Suite 101, Bastrop, TX 78602-5159
David W Terreson Interventional Cardiology St Davids Heart and Vascular Pllc 3101 Hwy 71 E, Suite 201 Tx Heart and Vascular, Bastrop, TX 78602-5157
James E Handy Podiatry Family Health Center of Bastrop Pllc 3101 Hwy 71 E, Suite 101, Bastrop, TX 78602-5159
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Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Hill Psychiatry Bluebonnet Trails Community Mhmr Center 10 Settlement Dr, Bastrop County Menta, Bastrop, TX 78602
Elizabeth G Yarotsky Physician Assistant Butler and Burns Ear Nose and Throat Associates 441 Hwy 71 W, Suite H, Bastrop, TX 78602
John Holtzclaw Qualified Audiologist Butler and Burns Ear Nose and Throat Associates 441 Hwy 71 W, Suite H, Bastrop, TX 78602
Abila F Awan Psychiatry Bluebonnet Trails Community Mhmr Center 10 Settlement Dr, Bastrop County Menta, Bastrop, TX 78602
Brenda R Chao Obstetrics/gynecology Central Texas Ob/gyn Associates, Pllc 815 Hwy 71 W 1150, Renaissance Women's Group Bastrop, Bastrop, TX 78602-0319
Mischca T Scales Clinical Psychologist Mischca T. Scales, Phd, Pllc 815 Hwy 71 W, Suite 1150, Bastrop, TX 78602-0319
Rebecca Teng Obstetrics/gynecology Central Texas Ob/gyn Associates, Pllc 815 Hwy 71 W 1150, Renaissance Women's Group Bastrop, Bastrop, TX 78602-0319
Beth L Thai Obstetrics/gynecology Central Texas Ob/gyn Associates, Pllc 815 Hwy 71 W 1150, Renaissance Women's Group Bastrop, Bastrop, TX 78602-0319
Jessica E Macleod Obstetrics/gynecology Central Texas Ob/gyn Associates, Pllc 815 Hwy 71 W 1150, Renaissance Women's Group Bastrop, Bastrop, TX 78602-0319
Desmar Walkes General Practice 815 Hwy 71 W 1150, Bastrop, TX 78602-0319
Find all physicians in zip 78602

Competitor

Search similar physicians

City BASTROP
Zip Code 78602
Specialty PAIN MANAGEMENT
City + Specialty BASTROP + PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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