Mr Donald Camillo, CRNA | |
1854 Lakepointe Dr, Lewisville, TX 75057-6442 | |
(972) 315-1401 | |
Not Available |
Full Name | Mr Donald Camillo |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1854 Lakepointe Dr, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093896490 | NPI | - | NPPES |
DX62 | Other | TX | BLUE CROSS / BLUE SHIELD |
0071391-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 35211 (Texas) | Primary |
Entity Name | Donald Camillo Crna Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902112303 PECOS PAC ID: 6103014337 Enrollment ID: O20110103000506 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald Camillo, CRNA Po Box 292394, Lewisville, TX 75029-2394 Ph: (972) 668-7460 | Mr Donald Camillo, CRNA 1854 Lakepointe Dr, Lewisville, TX 75057-6442 Ph: (972) 315-1401 |
Mary F. Jocius, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 808 Office Park Cir, Ste 300, Lewisville, TX 75057 Phone: 866-795-9045 Fax: 469-671-5064 | |
Christi Idicula, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1125 Damsel Caroline Dr, Lewisville, TX 75056 Phone: 972-571-3299 | |
Joanne Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 591 W Main St, Lewisville, TX 75057 Phone: 972-436-3518 | |
Jarret Matta, PHD, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 971 Shelby Lane, Lewisville, TX 75056 Phone: 469-231-4320 |