Marx Wendel Goncalves De Sa, MD | |
530 S Jackson St, Louisville, KY 40202-1675 | |
(502) 852-1735 | |
(502) 852-6056 |
Full Name | Marx Wendel Goncalves De Sa |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 530 S Jackson St, Louisville, Kentucky |
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 |
---|---|---|---|
1457774770 | NPI | - | NPPES |
300041839 | Medicaid | IN | |
7100681580 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 53805 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Florida Regional Medical Center | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Anesthesia Physician Solutions Of North Florida Llc | 5597066001 | 248 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Mailing Address | Practice Location Address |
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Marx Wendel Goncalves De Sa, MD Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Marx Wendel Goncalves De Sa, MD 530 S Jackson St, Louisville, KY 40202-1675 Ph: (502) 852-1735 |
Kari Beth Christie, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5851 | |
Peter S Lansing, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-259-5391 Fax: 502-259-9733 | |
Julia Schroeder, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4010 Dupont Cir Ste 226, Louisville, KY 40207 Phone: 502-896-8006 | |
Dr. Mahesh Agrawal, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 332 W Broadway, Suite 810, Louisville, KY 40202 Phone: 502-583-0909 | |
Dr. Kavita Mehta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 233 E Gray St, Louisville, KY 40202 Phone: 502-629-2880 | |
Richard Booth Harris, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 Bluegrass Ave, Louisville, KY 40215 Phone: 502-361-6617 Fax: 502-361-6637 | |
Dr. Randall Joshua Campbell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Attn: Ruby Poltner, Louisville, KY 40217 Phone: 502-636-7160 |