Jonathan Lincoln, CRNA | |
701 W Plymouth Ave, Deland, FL 32720-3236 | |
(407) 667-0444 | |
(407) 667-4338 |
Full Name | Jonathan Lincoln |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 701 W Plymouth Ave, Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912387622 | NPI | - | NPPES |
PENDING | Other | FL | BCBS |
PENDING | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9281039 (Florida) | Primary |
Entity Name | Campbell County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Entity Name | Pinnacle Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588092274 PECOS PAC ID: 5890927404 Enrollment ID: O20140415000085 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Lincoln, CRNA 291 Southhall Ln, Maitland, FL 32751-7274 Ph: (407) 667-0444 | Jonathan Lincoln, CRNA 701 W Plymouth Ave, Deland, FL 32720-3236 Ph: (407) 667-0444 |
Robert Edward Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Maria Milagros Sostre-beltran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Merida Caleb Logan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Harlie Elizabeth Visser, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4892 | |
Felicia Cottrell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Gerald Salvatico, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Forest Ln, Deland, FL 32724 Phone: 386-736-1574 Fax: 386-943-4734 | |
Robert Fechtenburg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 |