| David Gonnella, | |
|
930 Marcum Rd Ste 10, Lakeland, FL 33809-4308 | |
| (863) 284-6800 | |
| Not Available |
| Full Name | David Gonnella |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 930 Marcum Rd Ste 10, Lakeland, 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 |
|---|---|---|---|
| 1760834386 | NPI | - | NPPES |
| 112389500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114776 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9114776 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Mainegeneral Medical Center | Augusta, ME | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Urgent Care, Llc. | 6103841051 | 91 |
| Mainegeneral Medical Center | 1254245715 | 554 |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Baycare Urgent Care, LLC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184677007 PECOS PAC ID: 6103841051 Enrollment ID: O20051010000665 |
| Mailing Address | Practice Location Address |
|---|---|
| David Gonnella, 13670 Walsingham Rd, Largo, FL 33774-3532 Ph: (727) 593-9848 | David Gonnella, 930 Marcum Rd Ste 10, Lakeland, FL 33809-4308 Ph: (863) 284-6800 |
Nathaly Antigua Suarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1157 Thomasville Cir, Lakeland, FL 33811 Phone: 863-934-6230 |
Jennifer Alsina Gutierrez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Kathleen Rd, Lakeland, FL 33810 Phone: 863-284-5000 |
Jasie Behrens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6201 Fax: 866-264-8519 |
Ms. Patricia Anne Keefe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3240 S Florida Ave Ste 101, Lakeland, FL 33803 Phone: 863-644-7337 |
Natalie Brown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4725 Us Highway 98 S Ste 101-102, Lakeland, FL 33812 Phone: 813-978-9700 Fax: 813-558-6185 |
Cory Adam Moogerfeld, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 |
Jocelyne Mendoza, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1033 N Parkway Frontage Rd, Lakeland, FL 33803 Phone: 863-647-4047 Fax: 866-264-8519 |