Lica Gosdzinski, CRNA in Fort Worth, TX - Medicare Nurse Anesthetist, Certified Registered

Lica Gosdzinski, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Worth, Texas. Her current practice location is 801 7th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-4054.

Lica Gosdzinski is licensed to practice in Texas (license number AP130117) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841657509.

Contact Information

	Lica Gosdzinski, CRNA
	801 7th Ave, Fort Worth, TX 76104
	(682) 885-4054
	(682) 885-7497

Map and Direction

Provider's Profile

Full Name	Lica Gosdzinski
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	801 7th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841657509
Provider Enumeration Date: 01/25/2016
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4981908878
Enrollment ID: I20160215000376

Medical Identifiers

Medical identifiers for Lica Gosdzinski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841657509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP130117 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lica Gosdzinski allows following entities to bill medicare on her behalf.

Entity Name	U S Anesthesia Partners Of Texas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lica Gosdzinski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lica Gosdzinski, CRNA Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Lica Gosdzinski, CRNA 801 7th Ave, Fort Worth, TX 76104 Ph: (682) 885-4054

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Worth, TX

Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875
Allyson Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-702-3431
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864

Lica Gosdzinski, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Worth, TX