Helena B Grandgenett, CRNA | |
4485 Furling Ln, Destin, FL 32541-5331 | |
(850) 650-7606 | |
(850) 337-1698 |
Full Name | Helena B Grandgenett |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4485 Furling Ln, Destin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891720538 | NPI | - | NPPES |
G2796 | Other | FL | BCBS |
303110108 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9168155 (Florida) | Primary |
Entity Name | Anesthesia Services Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659670453 PECOS PAC ID: 6901083781 Enrollment ID: O20110602000753 |
Mailing Address | Practice Location Address |
---|---|
Helena B Grandgenett, CRNA 4485 Furling Ln, Destin, FL 32541-5331 Ph: (850) 650-7606 | Helena B Grandgenett, CRNA 4485 Furling Ln, Destin, FL 32541-5331 Ph: (850) 650-7606 |
Adam Milligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4720 Rendezvous Cv, Destin, FL 32541 Phone: 404-632-2577 | |
Sandra A Dulian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 Fax: 850-337-1698 | |
Kalyn Saunders, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 | |
Anne W. Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4565 Woodwind Dr, Destin, FL 32541 Phone: 251-680-2183 Fax: 251-680-2183 | |
Amanda Jill Handley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 |