| Keziah Rachel Good, CRNA | |
|
810 Plaza Blvd, Lancaster, PA 17601-2762 | |
| (717) 431-2368 | |
| (717) 431-2540 |
| Full Name | Keziah Rachel Good |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 810 Plaza Blvd, Lancaster, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538729348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN574548 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 125481 (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Entity Name | Prime Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487157731 PECOS PAC ID: 5395008759 Enrollment ID: O20180417002093 |
| Mailing Address | Practice Location Address |
|---|---|
| Keziah Rachel Good, CRNA 810 Plaza Blvd, Lancaster, PA 17601-2762 Ph: (717) 431-2368 | Keziah Rachel Good, CRNA 810 Plaza Blvd, Lancaster, PA 17601-2762 Ph: (717) 431-2368 |
Jacqueline N Mast, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Ms. Julia Darlene Fuller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-7890 Fax: 717-544-7151 | |
Lilia Brice, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Jerome Broad, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Meridith Ranck, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 133 E Frederick St, Lancaster, PA 17602 Phone: 717-394-9821 Fax: 717-394-0175 | |
Lindsay Danielle Brennan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 555 North Duke Street, Lancaster, PA 17602 Phone: 717-544-4676 Fax: 717-544-7157 | |
Mr. Donald Edgar Keck Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 133 E Frederick St, Lancaster, PA 17602 Phone: 717-394-0175 |