| Shibin Mathew, CRNA | |
|
11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| (352) 596-6632 | |
| Not Available |
| Full Name | Shibin Mathew |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 11375 Cortez Blvd, Brooksville, Florida |
| 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 |
|---|---|---|---|
| 1851099600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11023875 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1115085 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texans Anesthesia Associates Pllc | 8820171390 | 200 |
| Entity Name | Texans Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Shibin Mathew, CRNA 4010 Brindisi Ct, Missouri City, TX 77459-6978 Ph: () - | Shibin Mathew, CRNA 11375 Cortez Blvd, Brooksville, FL 34613-5409 Ph: (352) 596-6632 |
Nicole Marie Dibella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Gail Shue, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797 | |
Arnold Szabo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Tashona P. Wilks, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Rodney Holcomb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-544-7112 Fax: 352-688-7224 | |
Mrs. Lorna Marie Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 Fax: 352-688-7224 | |
Scott Lamar Babcock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797 |