| Jonathan Lincoln, CRNA | |
|
701 W Plymouth Ave, Deland, FL 32720-3236 | |
| (407) 667-0444 | |
| (407) 667-4338 |
| Full Name | Jonathan Lincoln |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 701 W Plymouth Ave, Deland, 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 |
|---|---|---|---|
| 1912387622 | NPI | - | NPPES |
| PENDING | Other | FL | BCBS |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9281039 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Campbell County Hospital District | 2860392529 | 129 |
| Pinnacle Anesthesia Services Llc | 5890927404 | 4 |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
| Entity Name | Pinnacle Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588092274 PECOS PAC ID: 5890927404 Enrollment ID: O20140415000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Lincoln, CRNA 291 Southhall Ln, Maitland, FL 32751-7274 Ph: (407) 667-0444 | Jonathan Lincoln, CRNA 701 W Plymouth Ave, Deland, FL 32720-3236 Ph: (407) 667-0444 |
Robert Edward Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Maria Milagros Sostre-beltran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Merida Caleb Logan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Harlie Elizabeth Visser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4892 | |
Felicia Cottrell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Gerald Salvatico, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Forest Ln, Deland, FL 32724 Phone: 386-736-1574 Fax: 386-943-4734 | |
Robert Fechtenburg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 |