Brian Dale Grogan, CRNA | |
148 13th St Sw, Suite #200, Largo, FL 33770-3127 | |
(727) 450-3030 | |
Not Available |
Full Name | Brian Dale Grogan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 49 Years |
Location | 148 13th St Sw, Largo, 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 |
---|---|---|---|
1427032499 | NPI | - | NPPES |
G0161 | Other | FL | BCBS |
303306600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP911572 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grogan Smith And Martini Pl | 5092765693 | 9 |
Entity Name | Grogan Smith & Martini Pl |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831151661 PECOS PAC ID: 5092765693 Enrollment ID: O20050131000693 |
Mailing Address | Practice Location Address |
---|---|
Brian Dale Grogan, CRNA 2253 W Bay Isle Dr Se, St Petersburg, FL 33705-3350 Ph: (727) 502-5969 | Brian Dale Grogan, CRNA 148 13th St Sw, Suite #200, Largo, FL 33770-3127 Ph: (727) 450-3030 |
Frances Mandelbaum, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Robin Jackson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Cody Wallace Aucoin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Kyle A Gregg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
Rianne Howard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Suite 303, Largo, FL 33770 Phone: 727-581-8767 Fax: 727-581-8507 | |
Ms. Betty A. Llewellyn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1551 W Bay Dr, Largo, FL 33770 Phone: 727-581-8767 |