Diane Gothel, | |
100 N Academy Ave, Danville, PA 17822-2025 | |
(570) 271-6621 | |
Not Available |
Full Name | Diane Gothel |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841551249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN306812L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Williamsport Regional Medical Center | Williamsport, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Susquehanna Physician Services | 2264336460 | 483 |
Entity Name | Lehigh Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
Entity Name | Susquehanna Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639114689 PECOS PAC ID: 2264336460 Enrollment ID: O20040615001450 |
Entity Name | Capital Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447210737 PECOS PAC ID: 9032188610 Enrollment ID: O20040930000090 |
Mailing Address | Practice Location Address |
---|---|
Diane Gothel, 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: () - | Diane Gothel, 100 N Academy Ave, Danville, PA 17822-2025 Ph: (570) 271-6621 |
Mr. Bernard J. Gilligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Thomas G. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Matthew Payne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Marianne E. Pavis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Ms. Mary M. Podgurski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Daniel C. Pace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 | |
Stacey Vernon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Aademy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 |