| Trey Gorham, | |
|
3900 N Causeway Blvd #625, Metairie, LA 70002 | |
| (504) 779-5515 | |
| Not Available |
| Full Name | Trey Gorham |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3900 N Causeway Blvd #625, Metairie, Louisiana |
| 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 |
|---|---|---|---|
| 1356897698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 126865 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital, The | Craig, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Memorial Hospital | 1254231533 | 39 |
| Entity Name | The Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20040112000299 |
| Entity Name | The Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20061104000568 |
| Entity Name | Arapahoe Gastroenterology Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598115479 PECOS PAC ID: 2466745294 Enrollment ID: O20160801001103 |
| Entity Name | North Denver Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902624422 PECOS PAC ID: 9234667346 Enrollment ID: O20250116001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Trey Gorham, 3900 N Causeway Blvd Ste 625, Metairie, LA 70002-1771 Ph: () - | Trey Gorham, 3900 N Causeway Blvd #625, Metairie, LA 70002 Ph: (504) 779-5515 |
Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515 | |
Ronald E. Bankert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Terri S Denny, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Veterans Memorial Blvd, Metairie, LA 70006 Phone: 866-624-7637 |