| Jacque A Goulet, CRNA | |
|
131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 | |
| (352) 344-5201 | |
| (352) 344-3822 |
| Full Name | Jacque A Goulet |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 131 S Citrus Ave, Inverness, 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 |
|---|---|---|---|
| 1689603417 | NPI | - | NPPES |
| 3311552 | Other | FL | LICENSE |
| G3898 | Other | FL | BLUE CROSS |
| 055288 | Other | FL | AANA RE-CERT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3311552 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Anesthesiology Physicians Of Florida Inc. | 2860813011 | 11 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | North Tampa Anesthesia Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144216433 PECOS PAC ID: 2860474483 Enrollment ID: O20040607000186 |
| Entity Name | Steward Anesthesiology Physicians Of Florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336786029 PECOS PAC ID: 2860813011 Enrollment ID: O20200527000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacque A Goulet, CRNA Po Box 2499, Inverness, FL 34451-2499 Ph: (352) 344-5201 | Jacque A Goulet, CRNA 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 Ph: (352) 344-5201 |
Stephen Paul Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 131 S Citrus Ave, Inverness, FL 34452 Phone: 352-344-5201 Fax: 352-344-3822 | |
Nancy Connor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452 Phone: 352-344-5201 Fax: 352-344-3822 |