Jessica Marie Laslovich, | |
200 High Park Ave, Goshen, IN 46526-4810 | |
(317) 340-8384 | |
Not Available |
Full Name | Jessica Marie Laslovich |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 200 High Park Ave, Goshen, Indiana |
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 |
---|---|---|---|
1508515396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28248221A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 281848927 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Laslovich, 11217 Candice Dr, Fishers, IN 46038-5555 Ph: () - | Jessica Marie Laslovich, 200 High Park Ave, Goshen, IN 46526-4810 Ph: (317) 340-8384 |
Derek S Poulson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 57809 Hillside Dr, Goshen, IN 46528 Phone: 801-623-7813 | |
Janice Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 317-340-8384 | |
Brett Dyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20208 Deer Path Ct., Goshen, IN 46528 Phone: 801-864-0218 |