| Gary-anthony Lawson- Boucher, MD | |
|
1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | |
| (813) 844-4396 | |
| (813) 844-4972 |
| Full Name | Gary-anthony Lawson- Boucher |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 27 Years |
| Location | 1 Tampa General Cir, Tampa, Florida |
| 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 |
|---|---|---|---|
| 1730164427 | NPI | - | NPPES |
| 93528 | Other | FL | BCBS |
| 277768100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 228322-1 (New York) | Secondary |
| 207L00000X | Anesthesiology | ME97767 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moonlight Anesthesia, P.l. | 0547442758 | 2 |
| Quantum Anesthesia Services Pa | 2668608910 | 2 |
| Centurion Anesthesia - Fl Llc | 6103205620 | 10 |
| Entity Name | Moonlight Anesthesia, P.l. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707 |
| Entity Name | Quantum Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306270806 PECOS PAC ID: 2668608910 Enrollment ID: O20131115000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary-anthony Lawson- Boucher, MD 451 Bayfront Pl, #5209, Naples, FL 34102-6469 Ph: (239) 298-9702 | Gary-anthony Lawson- Boucher, MD 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 Ph: (813) 844-4396 |
Ashok Narayan Shenoy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-7677 Fax: 813-844-4972 | |
Satish Bollu Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 310, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Robert William Koss, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 | |
Dr. Jeffrey Marc Gilfor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11911 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-265-5300 | |
William Joseph Quartuccio, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Suite: A-327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Carla Elaine Galang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-7942 | |
Jay A Reichbach, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607 Phone: 855-485-3262 Fax: 813-443-8255 |