| Mr Shawn Thomas Gaughan, CRNA | |
|
1544 Sheldon St, Saint Paul, MN 55108-2331 | |
| (651) 646-3091 | |
| (651) 646-3124 |
| Full Name | Mr Shawn Thomas Gaughan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 1544 Sheldon St, Saint Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1417926130 | NPI | - | NPPES |
| 985190900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 139202-1 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN223809 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Beverly Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427041268 PECOS PAC ID: 2961491667 Enrollment ID: O20040508000009 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shawn Thomas Gaughan, CRNA 1544 Sheldon St, Saint Paul, MN 55108-2331 Ph: (651) 646-3091 | Mr Shawn Thomas Gaughan, CRNA 1544 Sheldon St, Saint Paul, MN 55108-2331 Ph: (651) 646-3091 |
Melanie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Molly Cubinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Caitlyn Sarah Lapres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-265-1254 | |
Dale H Mchugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert P Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Diane K Voelker-huhn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Nicole R Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |