Wallace D Womack (NPI# 1154691327, PAC ID# 1850550070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1154691327 |
| PAC ID by PECOS | 1850550070 |
| Professional Enrollment ID | I20120307000836 |
| Full Name | Wallace D Womack |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Address |
2026 S Jackson St Yps Anesthesia Services Jacksonville TX 75766-5822 |
| Phone Number | 8553007525 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2163524992 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2026 S Jackson St, Yps Anesthesia Services, Jacksonville, TX 75766-5822 | 8553007525 | YOUNGS PROFESSIONAL SERVICES LLC |
| 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 | 5123538161 | YOUNGS PROFESSIONAL SERVICES LLC |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Craig Macintyre | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 3811 Sagebriar Dr, Bryan, TX 77802-6107 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Anne C Hlavacek | Anesthesiology | Youngs Professional Services LLC | 2312 E Main St A, Yps Anesthesia Services, New Iberia, LA 70560-4064 |
| Joshua A Long | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 2600 N Hwy 118, Alpine, TX 79830-2002 |
| Lindsey M Smith-dunford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 600 N Union Ave, New Braunfels, TX 78130-4194 |
| Kara E Bono | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 67252 Industry Ln, Covington, LA 70433-8704 |
| August J Klohn | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 42570 S Airport Rd, Anesthesia Dept Yps Anesthesia Services, Hammond, LA 70403-0946 |
| Meaghan T Pezant | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 989 Robert Blvd, Slidell, LA 70458-2009 |
| Mark Edwin Koepp | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1097 Northwest Blvd, Franklin, LA 70538-3407 |
| Chris L Jacobson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1767 Troup Hwy, Tyler, TX 75701-5869 |
| Street Address |
2026 S JACKSON ST YPS ANESTHESIA SERVICES |
| City | JACKSONVILLE |
| State | TX |
| Zip | 75766-5822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerrad Michael Stoddard | Physician Assistant | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Catherine Suchia Wu | Radiation Oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Thanh Xuan Nguyen | Radiation Oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Ralph F Heaven | Hematology/oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Panagiotis N Valilis | Hematology/oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Paula Denise Ryan | Medical Oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Thomas D Fisher | Medical Oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Habib Ghaddar | Hematology/oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Christine Mihee Lee | Gynecological Oncology | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Christa Alize Palmer | Physician Assistant | Texas Oncology Pa | 2026 S Jackson St, Jacksonville, TX 75766-5822 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Morris | Family Medicine | 421 S Bonner St, Jacksonville, TX 75766-2330 | |
| James J Brown | Clinical Social Worker | Trinity Counseling Associates of East Texas, Inc | 703 S Main St, Jacksonville, TX 75766-2428 |
| Shelly Y Harley | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Daniel C Bennett | Diagnostic Radiology | 501 S Ragsdale, Etmc Radiology Dept, Jacksonville, TX 75766-2434 | |
| Adam Newman | Obstetrics/gynecology | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Andrew T Larkin | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joshua Spencer Larson | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Jeremy P Day | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Carlton S Rizer | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Jozef L Smit | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Find all physicians in zip 75766 | |||
| City | JACKSONVILLE |
| Zip Code | 75766 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSONVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Wallace D Womack.
| 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.