Andrew Destro, | |
2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | |
(850) 325-5911 | |
Not Available |
Full Name | Andrew Destro |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 2626 Capital Medical Blvd, Tallahassee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992446207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
367H00000X | Anesthesiologist Assistant | AA793 (Florida) | Primary |
Entity Name | Anesthesiology Associates Of Tallahassee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447232137 PECOS PAC ID: 3476446014 Enrollment ID: O20040206000050 |
Mailing Address | Practice Location Address |
---|---|
Andrew Destro, 850 S Gadsden St Unit 805, Tallahassee, FL 32301-2443 Ph: (404) 786-2440 | Andrew Destro, 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 Ph: (850) 325-5911 |
Mr. Joshua Kelly, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Nicholas Heyse, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Thi Le, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1894 Merchants Row Blvd Apt 2511, Tallahassee, FL 32311 Phone: 706-248-5078 | |
William Paul Dobbs, CRNA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2173a Centerville Pl, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Emily Dinse, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Aubrie Ireland, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Philip Edward Stevenson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-385-0144 |