Dale L Martin, CRNA | |
1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | |
(850) 916-8700 | |
Not Available |
Full Name | Dale L Martin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1040 Gulf Breeze Pkwy, Gulf Breeze, 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 |
---|---|---|---|
1225398563 | NPI | - | NPPES |
302I438792 | Other | MS | MEDICARE PTAN |
3481631 | Other | MS | UNITED HEALTHCARE |
4017520 | Other | MS | CIGNA |
03280005 | Medicaid | MS | |
9060979 | Other | MS | AETNA |
P01109800 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R787462 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11009121 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Florida Inc | 0345143152 | 777 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Mailing Address | Practice Location Address |
---|---|
Dale L Martin, CRNA 7178 Blue Jack Dr, Navarre, FL 32566-7304 Ph: (601) 447-1705 | Dale L Martin, CRNA 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 Ph: (850) 916-8700 |
Mellissa Dianne Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Ocean View Dr, Gulf Breeze, FL 32561 Phone: 850-934-8157 | |
Mrs. Amanda Zbaren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Suite 100, Gulf Breeze, FL 32561 Phone: 850-916-8500 | |
Robert Lance Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Ocean View Dr, Gulf Breeze, FL 32561 Phone: 850-934-8157 | |
Ms. Jill Anne Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Autumn Breeze Cir, Gulf Breeze, FL 32563 Phone: 850-288-1998 | |
Jennifer Bryant Gronert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2593 Mary Fox Dr, Gulf Breeze, FL 32563 Phone: 850-207-6824 | |
Thomas W Huff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 Fax: 850-434-4683 |