David Benjamin Good Ii, RN | |
516 East Nizhoni Blvd., Gallup, NM 87301-1337 | |
(505) 722-1000 | |
Not Available |
Full Name | David Benjamin Good Ii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 516 East Nizhoni Blvd., Gallup, New Mexico |
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 |
---|---|---|---|
1558515940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 270506 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01352 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gallup Indian Medical Center | Gallup, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs,phs,naihs, Gallup Indian Medical Center | 3173436409 | 121 |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
David Benjamin Good Ii, RN 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-6110 | David Benjamin Good Ii, RN 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Iris R Kovach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mayra Rael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Loretta Kendricks, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mr. Manuel Dejesus Zarate Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-506-6076 | |
Michael Lee Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Ms. Katrina Lucille Pinczes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 330-603-5716 | |
Shane Parks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |