| Krystal Lynn Goula, APN | |
|
65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | |
| (609) 652-1000 | |
| Not Available |
| Full Name | Krystal Lynn Goula |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 65 W Jimmie Leeds Rd, Pomona, New Jersey |
| 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 |
|---|---|---|---|
| 1699484279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR18214800 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ14911600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanticare Physician Group Pa | 8527953660 | 450 |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20170501000161 |
| Entity Name | Thompson Medical And Chiropractic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942755103 PECOS PAC ID: 5395008163 Enrollment ID: O20180409000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Lynn Goula, APN 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 652-1000 | Krystal Lynn Goula, APN 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 652-1000 |
Sara M Neyers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 Phone: 609-652-1000 | |
Jillian Ullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089 | |
Phillip Campanella, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Ms. Tammy Delores Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Amy Dow, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Conrado Manalo Sampedro, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Mr. William Bedsole, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 W. Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-7000 Fax: 609-748-7755 |