Michael Tichy, CRNA | |
12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907-3991 | |
(239) 939-2622 | |
(239) 939-0151 |
Full Name | Michael Tichy |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12511 World Plaza Ln Bldg 50, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033163274 | NPI | - | NPPES |
P00367248 | Other | FL | RAILROAD MEDICARE |
G4036 | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9241276 (Florida) | Primary |
Entity Name | Anesthesia & Pain Consultants Of Sw Fl |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609843275 PECOS PAC ID: 4082507835 Enrollment ID: O20040205000201 |
Entity Name | Moonlight Anesthesia, P.l. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707 |
Entity Name | St Johns Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598132508 PECOS PAC ID: 2668773615 Enrollment ID: O20151216000171 |
Mailing Address | Practice Location Address |
---|---|
Michael Tichy, CRNA 14621 Sherbrook Pl, #205, Fort Myers, FL 33912-7079 Ph: (239) 939-2622 | Michael Tichy, CRNA 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907-3991 Ph: (239) 939-2622 |
Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432 | |
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622 | |
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569 | |
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 | |
Deborah Brzycki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 |