Jacque A Goulet, CRNA | |
131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 | |
(352) 344-5201 | |
(352) 344-3822 |
Full Name | Jacque A Goulet |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 131 S Citrus Ave, Inverness, Florida |
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 |
---|---|---|---|
1689603417 | NPI | - | NPPES |
3311552 | Other | FL | LICENSE |
G3898 | Other | FL | BLUE CROSS |
055288 | Other | FL | AANA RE-CERT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3311552 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steward Anesthesiology Physicians Of Florida Inc. | 2860813011 | 17 |
Entity Name | North Tampa Anesthesia Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144216433 PECOS PAC ID: 2860474483 Enrollment ID: O20040607000186 |
Entity Name | Steward Anesthesiology Physicians Of Florida Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336786029 PECOS PAC ID: 2860813011 Enrollment ID: O20200527000121 |
Mailing Address | Practice Location Address |
---|---|
Jacque A Goulet, CRNA Po Box 2499, Inverness, FL 34451-2499 Ph: (352) 344-5201 | Jacque A Goulet, CRNA 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 Ph: (352) 344-5201 |
Stephen Paul Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 131 S Citrus Ave, Inverness, FL 34452 Phone: 352-344-5201 Fax: 352-344-3822 | |
Nancy Connor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452 Phone: 352-344-5201 Fax: 352-344-3822 |