| Betty Berly-maldonado, CRNA | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Betty Berly-maldonado |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952372153 | NPI | - | NPPES |
| 304922100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9190683 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Of Central Florida,llc | 5092813410 | 9 |
| 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 | Anesthesia Consultants Of Central Florida,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578681664 PECOS PAC ID: 5092813410 Enrollment ID: O20070608000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Berly-maldonado, CRNA Po Box 95004, Lakeland, FL 33804-5004 Ph: (863) 680-7000 | Betty Berly-maldonado, CRNA 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Ph: (863) 680-7000 |
Matthew Lee Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5701 Stratford Lane, Lakeland, FL 33813 Phone: 863-514-8640 | |
Nathan Yount, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd., Lakeland, FL 33805 Phone: 863-680-7830 Fax: 866-264-8519 | |
Anna M De La Torre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Grissell Rojas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 863-680-7420 | |
Johnnie Mae Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Ms. Emilee Rebecca Niekro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Mrs. Jessica Nicole Withrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7206 Fax: 866-264-8519 |