Kathleen Mattes-longo, CRNA | |
252 South 4th St, Lebanon, PA 17042 | |
(717) 272-4104 | |
Not Available |
Full Name | Kathleen Mattes-longo |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 252 South 4th St, Lebanon, Pennsylvania |
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 |
---|---|---|---|
1194705285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN290161L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Boise, P.a. | 2668385287 | 156 |
Entity Name | Anesthesia Associates Of Boise, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Mattes-longo, CRNA Po Box 947, Chambersburg, PA 17201 Ph: (717) 263-5562 | Kathleen Mattes-longo, CRNA 252 South 4th St, Lebanon, PA 17042 Ph: (717) 272-4104 |
Ms. Lynee K Porter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 912 Russell Drive, Lebanon, PA 17042 Phone: 717-272-9765 Fax: 717-272-9763 | |
Mrs. Wanda Garrett Perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 | |
Bridget Henderson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-228-1620 | |
Ashlee Wheeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 | |
Meredith Anne Dinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 | |
Mrs. Rosette Marie Conkle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 |