Dr Ellen Roark Basile, DO | |
6535 Nemours Pkwy, Orlando, FL 32827-7884 | |
(407) 567-4000 | |
(407) 567-5924 |
Full Name | Dr Ellen Roark Basile |
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Gender | Female |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 6535 Nemours Pkwy, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174851646 | NPI | - | NPPES |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
Mailing Address | Practice Location Address |
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Dr Ellen Roark Basile, DO 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4100 | Dr Ellen Roark Basile, DO 6535 Nemours Pkwy, Orlando, FL 32827-7884 Ph: (407) 567-4000 |
Dr. Paul David Thompson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Carlos A Archilla, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-7715 Fax: 407-650-7724 | |
Kristi Creel, Anesthesiology Medicare: Medicare Enrolled Practice Location: 62 Columbia St, Orlando, FL 32806 Phone: 321-214-4903 Fax: 321-843-2196 | |
Prabhav K Tella, MD, MPH Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7243 Della Dr Fl 3, Orlando, FL 32819 Phone: 321-841-1570 Fax: 321-841-1569 | |
Dean Sider, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 83 W Miller St, Orlando, FL 32806 Phone: 321-843-2584 | |
Dr. Del T Kirkpatrick, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Woodcock Rd Ste 120, Orlando, FL 32803 Phone: 407-792-1968 Fax: 407-641-5179 | |
Marnie B Robinson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-4607 Fax: 321-841-4603 |