Matar Goumbala, CRNA in Rochester, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Matar Goumbala, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rochester, Minnesota. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mayo Clinic, Gundersen Lutheran Medical Center Inc and his current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Matar Goumbala is licensed to practice in Wisconsin (license number 13346) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902343684.

Contact Information

	Matar Goumbala, CRNA
	200 1st St Sw, Rochester, MN 55905-0001
	(507) 284-2511
	Not Available

Map and Direction

Provider's Profile

Full Name	Matar Goumbala
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matar Goumbala graduated from nursing school in 2016

NPI Data:

NPI Number: 1902343684
Provider Enumeration Date: 01/19/2017
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2567745557
Enrollment ID: I20170217001295

Medical Identifiers

Medical identifiers for Matar Goumbala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902343684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	23067 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	242437-0 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2041 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	13346 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospital
Mayo Clinic Hospital Rochester	Rochester, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic	6507778255	4266
Gundersen Lutheran Medical Center Inc	2163331414	789

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. Matar Goumbala allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Regions Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

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. Matar Goumbala 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
Matar Goumbala, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Matar Goumbala, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rochester, MN

Emmanuel J Lujero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Amy Jo Neveau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Jennifer Charlebois, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Joella Horner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Seth Kenton Mogler, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Mrs. Stephanie Marie Cabler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Matar Goumbala, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rochester, MN