| Kathleen Mattes-longo, CRNA | |
|
252 South 4th St, Lebanon, PA 17042 | |
| (717) 272-4104 | |
| Not Available |
| Full Name | Kathleen Mattes-longo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 252 South 4th St, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194705285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN290161L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Boise, P.a. | 2668385287 | 157 |
| Entity Name | Anesthesia Associates Of Boise, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mattes-longo, CRNA Po Box 947, Chambersburg, PA 17201 Ph: (717) 263-5562 | Kathleen Mattes-longo, CRNA 252 South 4th St, Lebanon, PA 17042 Ph: (717) 272-4104 |
Ms. Lynee K Porter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 912 Russell Drive, Lebanon, PA 17042 Phone: 717-272-9765 Fax: 717-272-9763 | |
Mrs. Wanda Garrett Perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 | |
Bridget Henderson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-228-1620 | |
Meredith Anne Dinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 | |
Mr. Zahid H Khan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 | |
Kent Hepler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7500 Fax: 717-228-1642 |