Cody Wallace Aucoin, | |
201 14th St Sw, Largo, FL 33770 | |
(727) 588-5200 | |
Not Available |
Full Name | Cody Wallace Aucoin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 201 14th 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 |
---|---|---|---|
1245727080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 118304 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Sentara Leigh Hospital | Norfolk, VA | Hospital |
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
St Tammany Parish Hospital | Covington, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversified Professionals, Inc. | 0446356463 | 59 |
Total Anesthesia Care Stph Llc | 0749255909 | 50 |
Prime Anesthesia Services | 2567810658 | 4 |
Chs Anesthesia Services Group Inc | 5799007324 | 561 |
Atlantic Anesthesia, Inc | 4587562152 | 182 |
Entity Name | Total Anesthesia Care Stph Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
Entity Name | Diversified Professionals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
Entity Name | Prime Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124707435 PECOS PAC ID: 2567810658 Enrollment ID: O20231130000504 |
Mailing Address | Practice Location Address |
---|---|
Cody Wallace Aucoin, 14227 S Lakeshore Dr, Covington, LA 70435-5766 Ph: () - | Cody Wallace Aucoin, 201 14th St Sw, Largo, FL 33770 Ph: (727) 588-5200 |
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 | |
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 | |
Brian Dale Grogan, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 148 13th St Sw, Suite #200, Largo, FL 33770 Phone: 727-450-3030 |