Trey Gorham, | |
3900 N Causeway Blvd #625, Metairie, LA 70002 | |
(504) 779-5515 | |
Not Available |
Full Name | Trey Gorham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 3900 N Causeway Blvd #625, Metairie, Louisiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356897698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 126865 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital, The | Craig, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Memorial Hospital | 1254231533 | 36 |
The Memorial Hospital | 1254231533 | 36 |
Entity Name | The Capital City Anesthesia Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494 |
Mailing Address | Practice Location Address |
---|---|
Trey Gorham, 3900 N Causeway Blvd Ste 625, Metairie, LA 70002-1771 Ph: () - | Trey Gorham, 3900 N Causeway Blvd #625, Metairie, LA 70002 Ph: (504) 779-5515 |
Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515 | |
Steve Gonzales, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5568 | |
Ronald E. Bankert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 |