Mr Jerald Johnson Ii, | |
20 E River Park Pl W, Fresno, CA 93720-1551 | |
(555) 555-5555 | |
Not Available |
Full Name | Mr Jerald Johnson Ii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 20 E River Park Pl W, Fresno, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679144562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 767118 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001755 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden State Providers, A Medical Corporation | 7012212475 | 58 |
Entity Name | Mission Nursing Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
Entity Name | Golden State Providers, A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539 |
Entity Name | Jp Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609590926 PECOS PAC ID: 1759750193 Enrollment ID: O20221207001703 |
Entity Name | American Ambulatory Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952030124 PECOS PAC ID: 7012378110 Enrollment ID: O20230807000532 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerald Johnson Ii, 20 E River Park Pl W, Fresno, CA 93720-1551 Ph: (555) 555-5555 | Mr Jerald Johnson Ii, 20 E River Park Pl W, Fresno, CA 93720-1551 Ph: (555) 555-5555 |
Dr. Joseph William Martin, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Fresno & R Street, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Thomas Fuentez Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Nathan J Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-4349 Fax: 559-459-4103 | |
Saul Armando Perez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7417 N Cedar Ave, Fresno, CA 93720 Phone: 559-436-0871 | |
Vernon Chad Nielsen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 | |
Dr. Jorge Lopez, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 145 N Diana St, Fresno, CA 93701 Phone: 559-940-4177 | |
Casey Jordan Elison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 Fax: 559-498-8182 |