| Gregory Jay Vanginault, CRNA | |
|
3601 4th St, Ste. 1c282, Lubbock, TX 79430-8182 | |
| (806) 743-2981 | |
| (806) 743-2984 |
| Full Name | Gregory Jay Vanginault |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 3601 4th St, Lubbock, Texas |
| 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 |
|---|---|---|---|
| 1457406894 | NPI | - | NPPES |
| 155776101 | Other | TX | FIRSTCARE COMMERCIAL |
| 155776100 | Medicaid | TX | |
| 200103950A | Medicaid | OK | |
| 87137U | Other | TX | HMO BLUE |
| 87136U | Other | TX | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 672045 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | 4385549674 | 340 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Jay Vanginault, CRNA Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Gregory Jay Vanginault, CRNA 3601 4th St, Ste. 1c282, Lubbock, TX 79430-8182 Ph: (806) 743-2981 |
Kayleigh Mccarrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Mr. Nzonguti Ekangaki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430 Phone: 806-743-6639 | |
Mrs. Mayme Alicia Matthews, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2982 | |
Mr. Joshua Kain Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5602 Geneva Ave, Lubbock, TX 79413 Phone: 432-349-0935 | |
Morgan Gamble, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3514 21st St, Lubbock, TX 79410 Phone: 806-725-0000 | |
Anthony Raymond Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Mrs. Sarah L Daftarian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |