Mr Blakely Austin Deboard, - Medicare Certified Registered Nurse Anesthetist (crna) in St Petersburg, FL

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Mr Blakely Austin Deboard, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Petersburg, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Baycare Medical Group, Inc. and his current practice location is 6000 49th St N, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 521-4411.

Mr Blakely Austin Deboard is licensed to practice in Florida (license number APRN11005487) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720623499.

Contact Information

Mr Blakely Austin Deboard,
6000 49th St N,
St Petersburg, FL 33709-2114
(727) 521-4411
Not Available

Map and Direction




Provider's Profile

Full NameMr Blakely Austin Deboard
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location6000 49th St N, St Petersburg, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Blakely Austin Deboard graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1720623499
  • Provider Enumeration Date: 11/16/2019
  • Last Update Date: 10/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799115259
  • Enrollment ID: I20200423002357

Medical Identifiers

Medical identifiers for Mr Blakely Austin Deboard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720623499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 9444134 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered APRN11005487 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Josephs HospitalTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Medical Group, Inc.64067536231010

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Blakely Austin Deboard allows following entities to bill medicare on his behalf.
Entity NameGulf-to-bay Anesthesiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NameBaycare Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameDigestive Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003259433
PECOS PAC ID: 6002054889
Enrollment ID: O20130606000501
Entity NameAmerican Anesthesiology Services Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508318387
PECOS PAC ID: 1850674540
Enrollment ID: O20170202001989
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NamePremier Anesthesia Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790330694
PECOS PAC ID: 4385975556
Enrollment ID: O20191021000304
Entity NameCapital Anesthesia Solutions Of Florida Ii, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891318481
PECOS PAC ID: 7911323720
Enrollment ID: O20200811002165
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Blakely Austin Deboard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Blakely Austin Deboard,
6918 Neopolitan Ct,
Apollo Beach, FL 33572-1604

Ph: (813) 304-3383		Mr Blakely Austin Deboard,
6000 49th St N,
St Petersburg, FL 33709-2114

Ph: (727) 521-4411

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in St Petersburg, FL

Jeanne Hardin-gres,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701
Phone: 727-456-3288    Fax: 727-456-3289
Katherine Lisa Khokhar, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-828-3218    Fax: 727-828-0723
Ms. Gloria Jr Fain, CBC CNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705
Phone: 727-866-7403    Fax: 727-866-9495
William James Quatman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704
Phone: 727-823-1234    
Erik Scott Rauch, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-2188    Fax: 727-823-9502
Candice Queen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-1234    
Lauren Elizabeth Pylant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-1234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.