Kenneth A Perraut, CRNA | |
1800 Barrs St, Jacksonville, FL 32204 | |
(904) 387-4030 | |
(904) 381-9808 |
Full Name | Kenneth A Perraut |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1800 Barrs St, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619933066 | NPI | - | NPPES |
00911809A | Medicaid | GA | |
G0902 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP1484212 (Florida) | Primary |
Entity Name | Anesthesia Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346240066 PECOS PAC ID: 4486547049 Enrollment ID: O20040206000114 |
Entity Name | Fleming Island Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Mailing Address | Practice Location Address |
---|---|
Kenneth A Perraut, CRNA 2165 Herschel St, Jacksonville, FL 32204-3819 Ph: (904) 387-4030 | Kenneth A Perraut, CRNA 1800 Barrs St, Jacksonville, FL 32204 Ph: (904) 387-4030 |
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855 | |
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111 | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220 | |
Tabitha Jay Barrett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 954-939-5216 |