| Jeffrey C Horstman, CRNA | |
|
1 Medical Center Dr, Lebanon, NH 03756-1000 | |
| (603) 650-5922 | |
| Not Available |
| Full Name | Jeffrey C Horstman |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013969120 | NPI | - | NPPES |
| 305444600 | Medicaid | FL | |
| G3264 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9196064 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 083500-23 (New Hampshire) | Primary |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C Horstman, CRNA 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5922 | Jeffrey C Horstman, CRNA 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5922 |
Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469 | |
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922 | |
Mr. Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Dr. Taylor Chase Merritt, DNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr # 1000, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000 | |
Jennifer L Dorsey, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr # 1000, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000 |