| Lisa C Gander, CRNA | |
|
816 Independence Blvd Ste 2g, Virginia Beach, VA 23455-6010 | |
| (757) 363-6728 | |
| (757) 363-6204 |
| Full Name | Lisa C Gander |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 816 Independence Blvd Ste 2g, Virginia Beach, Virginia |
| 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 |
|---|---|---|---|
| 1215274618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 0024170563 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smg Anesthesia Specialists Llc | 6305081118 | 480 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Professional Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619149648 PECOS PAC ID: 8527133677 Enrollment ID: O20090122000416 |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Entity Name | Goodwin & Snyder Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508391129 PECOS PAC ID: 3577833466 Enrollment ID: O20170726000929 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Gander, CRNA 816 Independence Blvd Ste 2g, Virginia Beach, VA 23455-6010 Ph: (757) 363-6728 | Lisa C Gander, CRNA 816 Independence Blvd Ste 2g, Virginia Beach, VA 23455-6010 Ph: (757) 363-6728 |