Mrs Bonnie Lynn Jago, CRNA | |
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
(352) 214-8365 | |
Not Available |
Full Name | Mrs Bonnie Lynn Jago |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427246115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 888291 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP127564 (Texas) | Primary |
Entity Name | Gcsa Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184017741 PECOS PAC ID: 8729392667 Enrollment ID: O20150805007675 |
Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Entity Name | Orthomed Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20180905000794 |
Mailing Address | Practice Location Address |
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Mrs Bonnie Lynn Jago, CRNA 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: () - | Mrs Bonnie Lynn Jago, CRNA 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (352) 214-8365 |
Deborah Anne Cleary, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-542-7563 | |
Dr. Brooks B Goettle, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4151 | |
Mr. Mark Gerard Prescott, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6707 Fax: 210-292-7964 | |
Dr. Thomas Joseph Evans, DNP, APRN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-2577 | |
Martha Ellan Paul, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-808-3458 |