| Kimberly A Makuta-michael, | |
|
14000 Fivay Rd, Hudson, FL 34667-7103 | |
| (813) 830-1103 | |
| Not Available |
| Full Name | Kimberly A Makuta-michael |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 14000 Fivay Rd, Hudson, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528489036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11018838 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN597893 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine State Anesthesia Partners Llc | 8123434792 | 365 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Makuta-michael, 12479 Jaybird Rd, Weeki Wachee, FL 34614-3293 Ph: (570) 293-2197 | Kimberly A Makuta-michael, 14000 Fivay Rd, Hudson, FL 34667-7103 Ph: (813) 830-1103 |
Michael L Favio, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Kimberly Lee Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-868-5400 | |
Pamela Christina Vanvliet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2929 | |
Kent M Fellers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 260-484-8551 Fax: 260-482-5060 | |
Vito Caniglia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Joan Marie Murray, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Kayla Yvonne Sharay Ashton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2929 |