Brenda K Moody, CRNA | |
8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | |
(352) 323-8868 | |
(352) 323-8865 |
Full Name | Brenda K Moody |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 8110 County Road 44 Leg A, Leesburg, 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 |
---|---|---|---|
1134255748 | NPI | - | NPPES |
006434500 | Medicaid | FL | |
00121720 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP 9335818 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Gastroenterology And Nutrition Associates, P.a. | 1850294612 | 5 |
Entity Name | Professional Gastroenterology & Nutrition Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215974498 PECOS PAC ID: 1850294612 Enrollment ID: O20040129000299 |
Mailing Address | Practice Location Address |
---|---|
Brenda K Moody, CRNA 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 Ph: (352) 323-8868 | Brenda K Moody, CRNA 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 Ph: (352) 323-8868 |
Victoria Catherine Wynne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Mr. Michael I Felton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-433-2825 Fax: 352-433-2893 | |
Iesha Lorraine Zilcosky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Josue Sarmiento, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Mrs. Teresa Ann Fowler-plotkin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 407-468-0065 Fax: 866-339-1813 | |
Samuella Ferrari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 |