Richard Klementavicius, MD | |
617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 | |
(850) 934-4107 | |
(850) 934-4107 |
Full Name | Richard Klementavicius |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 43 Years |
Location | 617 Bay Cliffs Rd, Gulf Breeze, 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 |
---|---|---|---|
1609828490 | NPI | - | NPPES |
46336 | Other | FL | BCBS |
59169917 | Other | AL | BCBS |
009984555 | Medicaid | AL | |
256621400 | Medicaid | FL | |
P00134526 | Other | PALMETTO GBA-RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME77791 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Hospital | Pensacola, FL | Hospital |
Gulf Breeze Hospital | Gulf breeze, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Dynamics Llc | 3779832530 | 379 |
Fleming Island Anesthesia Llc | 6002084860 | 33 |
Ams Baptist Llc | 6901099688 | 60 |
Ams Of Gulf Breeze Llc | 9537326665 | 37 |
Entity Name | Ams Baptist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236 |
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 | Ams Of Gulf Breeze Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611 |
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 |
Mailing Address | Practice Location Address |
---|---|
Richard Klementavicius, MD 617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 Ph: (850) 934-4107 | Richard Klementavicius, MD 617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 Ph: (850) 934-4107 |
Dr. Anthony A Giberman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-934-2000 | |
Douglas E Boler, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1337 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-735-4907 Fax: 850-735-4907 | |
Dr. Mark Wayne Morgan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 | |
Dr. Peter K Mciver, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 416 Montrose Blvd, Gulf Breeze, FL 32561 Phone: 850-501-0200 | |
Benjamin Cooke, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy Ste 100, Gulf Breeze, FL 32561 Phone: 850-916-8700 | |
Dr. Barbara Mary Ebel, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 Phone: 850-934-0064 Fax: 850-934-7839 |