Jarret Matta, PHD, APRN, CRNA | |
971 Shelby Lane, Lewisville, TX 75056 | |
(469) 231-4320 | |
Not Available |
Full Name | Jarret Matta |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 971 Shelby Lane, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932826211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 138803 (Texas) | Primary |
Entity Name | Allen Anesthesia Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265469357 PECOS PAC ID: 2264477140 Enrollment ID: O20050621001239 |
Mailing Address | Practice Location Address |
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Jarret Matta, PHD, APRN, CRNA 971 Shelby Ln, Lewisville, TX 75056-3937 Ph: (469) 231-4320 | Jarret Matta, PHD, APRN, CRNA 971 Shelby Lane, Lewisville, TX 75056 Ph: (469) 231-4320 |
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 | |
Christi Idicula, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1125 Damsel Caroline Dr, Lewisville, TX 75056 Phone: 972-571-3299 | |
Joanne Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 591 W Main St, Lewisville, TX 75057 Phone: 972-436-3518 |