| Mr Vincent Guy Lombardo, CRNA | |
|
801 Goodyear Blvd, Picayune, MS 39466 | |
| (601) 798-4711 | |
| (601) 749-3187 |
| Full Name | Mr Vincent Guy Lombardo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 801 Goodyear Blvd, Picayune, Mississippi |
| 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 |
|---|---|---|---|
| 1588747489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R854721 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| Entity Name | Anesthesiology Group Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
| Entity Name | Childrens Hospital Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
| Entity Name | Northlake Anesthesiologists, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Diversified Professionals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
| Entity Name | Anesthesiology Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
| Entity Name | Gastroenterology Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699089581 PECOS PAC ID: 5890955264 Enrollment ID: O20130514000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vincent Guy Lombardo, CRNA Po Box 909, 801 Goodyear Blvd, Picayune, MS 39466 Ph: (601) 798-4711 | Mr Vincent Guy Lombardo, CRNA 801 Goodyear Blvd, Picayune, MS 39466 Ph: (601) 798-4711 |
Mr. Jed Dean Zak, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 Goodyear Blvd, Picayune, MS 39466 Phone: 601-798-4711 |