| Jeremiah James Pastor, CRNA | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Jeremiah James Pastor |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, 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 |
|---|---|---|---|
| 1033777941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9362967 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11002694 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiologists Of Greater Orlando Inc | 7416928536 | 264 |
| Entity Name | Anesthesiologists Of Greater Orlando Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929 |
| Entity Name | Amsurg Citrus Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255774212 PECOS PAC ID: 9436399854 Enrollment ID: O20130709000205 |
| Entity Name | Amsurg Melbourne Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477958189 PECOS PAC ID: 3274858618 Enrollment ID: O20150206000921 |
| Entity Name | Anesthesia Associates Of Ocala Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808287 PECOS PAC ID: 1254657349 Enrollment ID: O20150309001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah James Pastor, CRNA 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 | Jeremiah James Pastor, CRNA 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 |
Matthew Lee Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5701 Stratford Lane, Lakeland, FL 33813 Phone: 863-514-8640 | |
Nathan Yount, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd., Lakeland, FL 33805 Phone: 863-680-7830 Fax: 866-264-8519 | |
Anna M De La Torre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Grissell Rojas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 863-680-7420 | |
Johnnie Mae Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Ms. Emilee Rebecca Niekro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Mrs. Jessica Nicole Withrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7206 Fax: 866-264-8519 |