Jericho Gerald Joseph Loupe, CRNA | |
1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 | |
(512) 353-8161 | |
(512) 353-8255 |
Full Name | Jericho Gerald Joseph Loupe |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1305 Wonder World Dr Ste 105, San Marcos, Texas |
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 |
---|---|---|---|
1992908321 | NPI | - | NPPES |
158772704 | Medicaid | TX | |
P01163791 | Other | TX | RR MEDICARE |
8869UD | Other | TX | BCBS OF TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 686187 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Seton Highland Lakes | Burnet, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Youngs Professional Services Llc | 2163524992 | 148 |
Entity Name | Northstar Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Cahrmc Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Mailing Address | Practice Location Address |
---|---|
Jericho Gerald Joseph Loupe, CRNA 13501 Settlers Trl, Dripping Springs, TX 78620-4391 Ph: (956) 330-1089 | Jericho Gerald Joseph Loupe, CRNA 1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 Ph: (512) 353-8161 |
Rockie Lane Dugger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 Fax: 254-200-4090 | |
Ms. Mildred Simon Mozara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Wendell M Holladay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Catherine Renee Carpenter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Michael Lynn Nick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Lindsey Marie Smith-dunford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666 Phone: 512-353-8161 | |
Courtney Harrell, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3571 |