| Mariela Gomez, CRNA | |
|
800 W Central Rd Dept Of, Arlington Heights, IL 60005-2349 | |
| (847) 570-2760 | |
| Not Available |
| Full Name | Mariela Gomez |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 800 W Central Rd Dept Of, Arlington Heights, Illinois |
| 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 |
|---|---|---|---|
| 1407584220 | NPI | - | NPPES |
| 041.472630 | Other | IL | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041472630 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209025965 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariela Gomez, CRNA 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-3172 | Mariela Gomez, CRNA 800 W Central Rd Dept Of, Arlington Heights, IL 60005-2349 Ph: (847) 570-2760 |
Elisa Lindholm Hillman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Ms. Diana M Glab, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 478-618-7140 | |
Ruta M. Shabez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Maria Palu, APN- CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Charles Blades Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W. Central Rd. Department Of Anesthesia, Arlington Heights, IL 60005 Phone: 847-618-7140 | |
Daniel Mejia Nolasco, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Megan L Bryant, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd Dept Of, Arlington Heights, IL 60005 Phone: 847-618-7140 Fax: 847-618-0228 |