| Mr Robert Gonzalez Jr, CRNA | |
|
49725 County 83, Staples, MN 56479-5280 | |
| (218) 894-1515 | |
| Not Available |
| Full Name | Mr Robert Gonzalez Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 49725 County 83, Staples, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285003608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 195330-5 (Minnesota) | Primary |
| Entity Name | Lakewood Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | St Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891954574 PECOS PAC ID: 8123937992 Enrollment ID: O20040429000995 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790783587 PECOS PAC ID: 2365448768 Enrollment ID: O20061006000515 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Gonzalez Jr, CRNA 12902 Knollwood Dr, Baxter, MN 56425-8373 Ph: (915) 422-6375 | Mr Robert Gonzalez Jr, CRNA 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Laura Marie Valencia, DNP, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 | |
Jason Elvin Alexander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Scott F Maney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |