Elmer Shane Boger, CRNA | |
4901 Grande Dr, Pensacola, FL 32504-5935 | |
(850) 477-7042 | |
(850) 474-9060 |
Full Name | Elmer Shane Boger |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 4901 Grande Dr, Pensacola, 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 |
---|---|---|---|
1912214016 | NPI | - | NPPES |
G00HV | Other | FL | BLUE CROSS BLUE SHIELD |
002665300 | Medicaid | FL | |
122307 | Medicaid | AL | |
592-12774 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9312804 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams Anesthetist Services Llc | 8325298458 | 135 |
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 | Ams Baptist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236 |
Entity Name | Ams Of Gulf Breeze Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611 |
Entity Name | Ams Anesthetist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770834426 PECOS PAC ID: 8325298458 Enrollment ID: O20121025000224 |
Entity Name | Ams Sacred Heart Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457614851 PECOS PAC ID: 5395995427 Enrollment ID: O20121107000144 |
Mailing Address | Practice Location Address |
---|---|
Elmer Shane Boger, CRNA 4901 Grande Dr, Pensacola, FL 32504-5935 Ph: (850) 477-7042 | Elmer Shane Boger, CRNA 4901 Grande Dr, Pensacola, FL 32504-5935 Ph: (850) 477-7042 |
Katherine Kuehn, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-6098 Fax: 850-494-5150 | |
Kaitlyn Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-3212 | |
Brian Grady Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 228-257-5070 Fax: 850-494-5150 | |
Leslie Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Katherine B Bryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Medical Center Clinic, Pensacola, FL 32514 Phone: 850-474-8319 Fax: 850-969-2958 | |
Mrs. Casey Hitt Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Darrah L Friedman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 |