| Derek Bush, APRN CRNA | |
|
6400 W. Newberry Road, Suite 302, Gainesville, FL 32605 | |
| (352) 331-8902 | |
| (352) 224-1094 |
| Full Name | Derek Bush |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6400 W. Newberry Road, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184084881 | NPI | - | NPPES |
| 017630800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9373016 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Digestive Disease Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083790265 PECOS PAC ID: 2365425816 Enrollment ID: O20040608000268 |
| Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Bush, APRN CRNA 6400 W. Newberry Road, Suite 302, Gainesville, FL 32605 Ph: (352) 331-8902 | Derek Bush, APRN CRNA 6400 W. Newberry Road, Suite 302, Gainesville, FL 32605 Ph: (352) 331-8902 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 | |
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861 |