| Carlos A Gonzalez, CAA | |
|
8701 Broadway, Merrillville, IN 46410-7035 | |
| (219) 738-5500 | |
| Not Available |
| Full Name | Carlos A Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 8701 Broadway, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245039635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000207 (Indiana) | Primary |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
| Entity Name | Redreef Anesthesia Associates Chartered Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215783766 PECOS PAC ID: 7012459647 Enrollment ID: O20240611000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Gonzalez, CAA 730 S Clark St Apt 903, Chicago, IL 60605-1745 Ph: () - | Carlos A Gonzalez, CAA 8701 Broadway, Merrillville, IN 46410-7035 Ph: (219) 738-5500 |
Cayle Gao, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 850-459-0875 | |
Julito Lucio Yranela, CRNA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-4929 | |
Mahnoor Taj Hussain, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-5500 | |
Lauren Elizabeth Avidano, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-5500 |