Jacquelyn Gump, CRNA | |
5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | |
(614) 975-4796 | |
(614) 884-0776 |
Full Name | Jacquelyn Gump |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 5151 Reed Rd, Columbus, Ohio |
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 |
---|---|---|---|
1649519158 | NPI | - | NPPES |
P01381010 | Other | OH | RAILROAD MEDICARE |
COA.15833-NA | Other | OH | STATE COA LICENSE |
0104362 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | COA.15833-NA (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Marysville, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rural Anesthesia Management, Llc | 1456380450 | 10 |
Entity Name | New Albany Orthopedic Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
Entity Name | Rural Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437108164 PECOS PAC ID: 1456380450 Enrollment ID: O20050810000570 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Gump, CRNA 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 Ph: (614) 975-4796 | Jacquelyn Gump, CRNA 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 Ph: (614) 975-4796 |
Ronee D Trussel, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Rachel Marie Ashworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 | |
Tony Tre Lybarger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215 Phone: 614-566-9871 | |
Mary Carol F Shurman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Gina M. Reno, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 | |
Alyson F. Kuhn, APRN.CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Lisa Christine Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-4919 |