| Jericho Gerald Joseph Loupe, CRNA | |
|
1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 | |
| (512) 353-8161 | |
| (512) 353-8255 |
| Full Name | Jericho Gerald Joseph Loupe |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1305 Wonder World Dr Ste 105, San Marcos, 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 |
|---|---|---|---|
| 1992908321 | NPI | - | NPPES |
| 158772704 | Medicaid | TX | |
| P01163791 | Other | TX | RR MEDICARE |
| 8869UD | Other | TX | BCBS OF TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 686187 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Seton Highland Lakes | Burnet, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Cahrmc Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Gerald Joseph Loupe, CRNA 13501 Settlers Trl, Dripping Springs, TX 78620-4391 Ph: (956) 330-1089 | Jericho Gerald Joseph Loupe, CRNA 1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 Ph: (512) 353-8161 |
Rockie Lane Dugger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 Fax: 254-200-4090 | |
Ms. Mildred Simon Mozara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Wendell M Holladay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Catherine Renee Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Michael Lynn Nick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Lindsey Marie Smith-dunford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666 Phone: 512-353-8161 | |
Courtney Harrell, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3571 |