Amanda Gumbert, CAA | |
900 23rd St Nw Ste G-2092, Washington, DC 20037-2342 | |
(202) 715-4752 | |
Not Available |
Full Name | Amanda Gumbert |
---|---|
Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 900 23rd St Nw Ste G-2092, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326455288 | NPI | - | NPPES |
1678 | Other | OH | CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 1678 (Ohio) | Secondary |
367H00000X | Anesthesiologist Assistant | 1678 (Texas) | Primary |
Entity Name | Space City Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235328253 PECOS PAC ID: 8628154416 Enrollment ID: O20080319000229 |
Mailing Address | Practice Location Address |
---|---|
Amanda Gumbert, CAA 900 23rd St Nw Ste G-2092, Washington, DC 20037-2342 Ph: (202) 715-4752 | Amanda Gumbert, CAA 900 23rd St Nw Ste G-2092, Washington, DC 20037-2342 Ph: (202) 715-4752 |
Alexandra Megan Fine, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000 | |
Alexa Aramini, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-3303 | |
Shelby Fullen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000 | |
Domenic Derobertis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-854-7000 | |
Timothy Olukanni, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 900 23rd St Nw, Washington, DC 20037 Phone: 202-715-4000 | |
Kanchanish Kaur, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-9418 | |
Elizabeth Stephenson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000 |