| Darlene May Hickam, CRNA | |
|
92 W Miller St, Orlando, FL 32806-2032 | |
| (321) 841-4607 | |
| (321) 841-4603 |
| Full Name | Darlene May Hickam |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 92 W Miller St, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386809150 | NPI | - | NPPES |
| P00739761 | Other | TN | RAILROAD MEDICARE |
| 004304300 | Medicaid | FL | |
| 495491926A | Medicaid | GA | |
| ARNP9332014 | Other | FL | MEDICAL LICENSE |
| 1509500 | Medicaid | TN | |
| 4194192 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| N473106 | Other | GA | WELLCARE (GA MEDICAID) |
| 8053485 | Medicaid | NC | |
| 108054 | Medicaid | AL |
| 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 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Darlene May Hickam, CRNA 92 W Miller St, Orlando, FL 32806-2032 Ph: (321) 841-4607 | Darlene May Hickam, CRNA 92 W Miller St, Orlando, FL 32806-2032 Ph: (321) 841-4607 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Stacey L. Bettes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Robinson St, Suite 130, Orlando, FL 32801 Phone: 407-581-9180 Fax: 865-560-7066 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 |