Christi Idicula, | |
1125 Damsel Caroline Dr, Lewisville, TX 75056-5779 | |
(972) 571-3299 | |
Not Available |
Full Name | Christi Idicula |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 1125 Damsel Caroline Dr, Lewisville, Texas |
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 |
---|---|---|---|
1871984096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP127431 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkland Health & Hospital System | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dallas County Hospital District | 8325934813 | 483 |
Entity Name | Dallas County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
Mailing Address | Practice Location Address |
---|---|
Christi Idicula, 1125 Damsel Caroline Dr, Lewisville, TX 75056-5779 Ph: (972) 571-3299 | Christi Idicula, 1125 Damsel Caroline Dr, Lewisville, TX 75056-5779 Ph: (972) 571-3299 |
Mr. Donald Camillo, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1854 Lakepointe Dr, Lewisville, TX 75057 Phone: 972-315-1401 | |
Mary F. Jocius, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 808 Office Park Cir, Ste 300, Lewisville, TX 75057 Phone: 866-795-9045 Fax: 469-671-5064 | |
Joanne Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 591 W Main St, Lewisville, TX 75057 Phone: 972-436-3518 | |
Jarret Matta, PHD, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 971 Shelby Lane, Lewisville, TX 75056 Phone: 469-231-4320 |