Katherine Martin, CRNA | |
611 Zeagler Dr, Palatka, FL 32177-3810 | |
(386) 328-5711 | |
Not Available |
Full Name | Katherine Martin |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 611 Zeagler Dr, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053516955 | NPI | - | NPPES |
G1705 | Other | FL | BCBS |
002223900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP938512 (Florida) | Primary |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Mailing Address | Practice Location Address |
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Katherine Martin, CRNA Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 824-4990 | Katherine Martin, CRNA 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 328-5711 |
Marty Mccullough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-7865 | |
John T Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Highway 16, Palatka, FL 32178 Phone: 386-326-7850 | |
Mr. Vincent Demond Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 904-382-8247 | |
Mr. Jeffrey Edward Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Paula B. Fuller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-8080 | |
Rosalie J. Milano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 |