| Mr Donald Camillo, CRNA | |
|
1854 Lakepointe Dr, Lewisville, TX 75057-6442 | |
| (972) 315-1401 | |
| Not Available |
| Full Name | Mr Donald Camillo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 43 Years |
| Location | 1854 Lakepointe Dr, Lewisville, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093896490 | NPI | - | NPPES |
| DX62 | Other | TX | BLUE CROSS / BLUE SHIELD |
| 0071391-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 35211 (Texas) | Primary |
| Entity Name | Donald Camillo Crna Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902112303 PECOS PAC ID: 6103014337 Enrollment ID: O20110103000506 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald Camillo, CRNA Po Box 292394, Lewisville, TX 75029-2394 Ph: (972) 668-7460 | Mr Donald Camillo, CRNA 1854 Lakepointe Dr, Lewisville, TX 75057-6442 Ph: (972) 315-1401 |
Mary F. Jocius, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 808 Office Park Cir, Ste 300, Lewisville, TX 75057 Phone: 866-795-9045 Fax: 469-671-5064 | |
Christi Idicula, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1125 Damsel Caroline Dr, Lewisville, TX 75056 Phone: 972-571-3299 | |
Joanne Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 591 W Main St, Lewisville, TX 75057 Phone: 972-436-3518 | |
Jarret Matta, PHD, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 971 Shelby Lane, Lewisville, TX 75056 Phone: 469-231-4320 |