Leah Jean Theriault, CRNA | |
819 Harbor Is, Clearwater, FL 33767-1807 | |
(772) 708-4310 | |
Not Available |
Full Name | Leah Jean Theriault |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 819 Harbor Is, Clearwater, 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 |
---|---|---|---|
1225269939 | NPI | - | NPPES |
G00KR | Other | FL | BCBS OF FL |
002866300 | Medicaid | FL | |
DH280W | Other | FL | TAMPA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN579293 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | ARNP9307894 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Dynamics Llc | 3779832530 | 379 |
Pinellas County Anesthesia Associates, Llc | 3779971734 | 35 |
Entity Name | Coastal Anesthesia Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932408838 PECOS PAC ID: 7911183025 Enrollment ID: O20110525000168 |
Entity Name | Premier Anesthesia Of The Sunshine State Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093002032 PECOS PAC ID: 2769652155 Enrollment ID: O20110822000348 |
Entity Name | All Services Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053608786 PECOS PAC ID: 3577733799 Enrollment ID: O20110825000756 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
Entity Name | Pinellas County Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780253419 PECOS PAC ID: 3779971734 Enrollment ID: O20211022002496 |
Mailing Address | Practice Location Address |
---|---|
Leah Jean Theriault, CRNA 600 115th Ave, Treasure Island, FL 33706-3050 Ph: (772) 708-4310 | Leah Jean Theriault, CRNA 819 Harbor Is, Clearwater, FL 33767-1807 Ph: (772) 708-4310 |
Ms. Susan Danielle Hartl, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Ulmerton Rd, Suite 450, Clearwater, FL 33762 Phone: 727-210-8191 | |
Mandee Peterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Ms. Katrina D Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Jeffords St, Suite B, Clearwater, FL 33756 Phone: 727-441-1524 Fax: 727-443-4206 | |
Kang Chip Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Ulmerton Rd, Suite 450, Clearwater, FL 33762 Phone: 727-573-7777 Fax: 727-573-7710 | |
Veronica Massey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Carol T Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Hobart M Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 |