Wilfred R Lovelock, CRNA | |
8040 N Wickham Rd, Melbourne, FL 32940-8367 | |
(321) 757-7272 | |
Not Available |
Full Name | Wilfred R Lovelock |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 8040 N Wickham Rd, Melbourne, 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 |
---|---|---|---|
1124110150 | NPI | - | NPPES |
1468924 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 097420 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9296902 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palm Bay Hospital | Palm bay, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brevard Physician Associates Pllc | 1850535048 | 197 |
Entity Name | North Tampa Anesthesia Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144216433 PECOS PAC ID: 2860474483 Enrollment ID: O20040607000186 |
Entity Name | Brevard Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
Entity Name | Beachland Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730732355 PECOS PAC ID: 7517298243 Enrollment ID: O20191010003237 |
Entity Name | Lovelock Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649745035 PECOS PAC ID: 9739410069 Enrollment ID: O20191017000131 |
Entity Name | Steward Anesthesiology Physicians Of Florida Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336786029 PECOS PAC ID: 2860813011 Enrollment ID: O20200527000121 |
Mailing Address | Practice Location Address |
---|---|
Wilfred R Lovelock, CRNA 1335 Ramblebrook St, Malabar, FL 32950-4210 Ph: (239) 246-0512 | Wilfred R Lovelock, CRNA 8040 N Wickham Rd, Melbourne, FL 32940-8367 Ph: (321) 757-7272 |