Lisa Gonzales, CRNA | |
230 N Broad St, Phila, PA 19102-1121 | |
(215) 762-7922 | |
(215) 762-8656 |
Full Name | Lisa Gonzales |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 230 N Broad St, Phila, 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 |
---|---|---|---|
1609832526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN346728L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson University Physicians | 7911819180 | 1273 |
Entity Name | Jefferson University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Entity Name | Methodist Associates In Healthcare, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835 |
Entity Name | Northstar Anesthesia Of Pennsylvania Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700218989 PECOS PAC ID: 5092941161 Enrollment ID: O20131119001358 |
Entity Name | 2bd Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457910150 PECOS PAC ID: 7517294705 Enrollment ID: O20190812000168 |
Mailing Address | Practice Location Address |
---|---|
Lisa Gonzales, CRNA 1500 Market St, 24th Floor- West Tower, Phila, PA 19102-2100 Ph: (215) 255-3828 | Lisa Gonzales, CRNA 230 N Broad St, Phila, PA 19102-1121 Ph: (215) 762-7922 |
Jeffrey D Park, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 Holme Ave, Phila, PA 19152 Phone: 215-335-6200 | |
Nicole Sherae Smith, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Phila, PA 19111 Phone: 267-990-1028 | |
Eric Filippo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Phila, PA 19102 Phone: 215-762-7922 Fax: 215-762-8656 |