Patrick J Ruddy, MD | |
325 Avenue 'b', Nw, Winter Haven, FL 33881-4651 | |
(863) 291-4000 | |
Not Available |
Full Name | Patrick J Ruddy |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 325 Avenue 'b', Nw, Winter Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770520538 | NPI | - | NPPES |
26262 | Other | FL | BLUE CROSS BLUE SHIELD FL |
376422200 | Medicaid | FL | |
50056275 | Other | FL | RAILROAD MEDICARE |
SSN | Other | FL | TRICARE/CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME67160 (Florida) | Primary |
Entity Name | Mobile Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295776243 PECOS PAC ID: 4183619828 Enrollment ID: O20040420000816 |
Entity Name | Fleming Island Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
Entity Name | Ams Aa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497392187 PECOS PAC ID: 6608200662 Enrollment ID: O20191227001037 |
Mailing Address | Practice Location Address |
---|---|
Patrick J Ruddy, MD Po Box 917110, Orlando, FL 32891-7110 Ph: (800) 901-2102 | Patrick J Ruddy, MD 325 Avenue 'b', Nw, Winter Haven, FL 33881-4651 Ph: (863) 291-4000 |
Donald Richard Nettlow Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Jorge Ramon Villarreal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2400 Dundee Rd, Winter Haven, FL 33884 Phone: 317-614-9863 Fax: 844-876-0873 | |
Kristen B Williams, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 567 Avenue K Se, Winter Haven, FL 33880 Phone: 863-299-1231 Fax: 863-299-1233 | |
Victoria Bodaj, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1802 Columbia Dr, Winter Haven, FL 33881 Phone: 863-293-3115 | |
Dr. Mary Zoccoli, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 844-876-0873 | |
Antonio N. Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-294-8400 Fax: 863-294-8536 | |
Dr. Monika Lippold, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 567 Avenue K Se, Winter Haven, FL 33880 Phone: 863-299-1231 Fax: 866-299-1233 |