Mr John Daniel Gonzales Jr, | |
2435 Forest Dr, Columbia, SC 29204-2026 | |
(803) 256-5300 | |
Not Available |
Full Name | Mr John Daniel Gonzales Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 2435 Forest Dr, Columbia, South Carolina |
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 |
---|---|---|---|
1376785469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3896 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beach Anesthesia, Llc | 6103924014 | 64 |
Under Anesthesia | 6901083724 | 12 |
Entity Name | Beach Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
Entity Name | Under Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Entity Name | Concordia Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20150127000437 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Mr John Daniel Gonzales Jr, Po Box 1467, Columbia, SC 29202-1467 Ph: (803) 765-1838 | Mr John Daniel Gonzales Jr, 2435 Forest Dr, Columbia, SC 29204-2026 Ph: (803) 256-5300 |
Dianne Jenkins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2435 Forest Dr, 7th Floor, Columbia, SC 29204 Phone: 803-454-2613 | |
Janet Matenlan Golay, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 | |
Deborah Lee Stuart, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 | |
Mrs. Candace Anne Aguiar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Palmetto Health Pkwy,, Palmetto Health Baptist Parkridge, Columbia, SC 29212 Phone: 803-296-2548 | |
Mrs. Pamela Jean Parks Ozaluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Harden Street Ext 5 Medical Park, Plametto Health Ricland, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-2525 | |
Erich Reed Starn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Palmetto Health Baptist, Taylor At Marion Street, Columbia, SC 29220 Phone: 803-296-2276 Fax: 806-296-3854 | |
Linda Kay Foy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Taylor At Marion Streets, Palmetto Health Baptist, Columbia, SC 29201 Phone: 803-296-2548 Fax: 803-296-2548 |