Lisa D Hogan, CRNA | |
1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | |
(813) 844-4396 | |
(813) 844-4972 |
Full Name | Lisa D Hogan |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Tampa General Cir, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053396424 | NPI | - | NPPES |
E6257W | Other | FL | MEDICARE GTBA REASSIGN |
P00339881 | Other | FL | MEDICARE RAILROAD |
G3402 | Other | FL | BCBS |
303984600 | Medicaid | FL | |
7705379 | Other | FL | AETNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9178865 (Florida) | Primary |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Entity Name | Florida Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
Mailing Address | Practice Location Address |
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Lisa D Hogan, CRNA 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 Ph: (813) 844-4396 | Lisa D Hogan, CRNA 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 Ph: (813) 844-4396 |
Robert David Morse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jessica L Zavesky, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jamie Wolff, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12912 Usf Health Dr., Tampa, FL 33612 Phone: 813-974-2191 | |
J'woin Maalik Harrison, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 | |
Alexandra Ross, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7294 | |
Marlo Javier Molina Zamora, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Lois Ave Apt Unit224, Tampa, FL 33607 Phone: 956-254-6710 | |
Ann Coursey Gorrie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4016 W De Leon St, Tampa, FL 33609 Phone: 202-361-3012 |