Mr Brandon Kent Kemmerer, CAA | |
4211 Van Dyke Rd, Lutz, FL 33558-8005 | |
(813) 443-7000 | |
Not Available |
Full Name | Mr Brandon Kent Kemmerer |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 4211 Van Dyke Rd, Lutz, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255110672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367H00000X | Anesthesiologist Assistant | (Florida) | Primary |
Entity Name | Bay Area Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134210040 PECOS PAC ID: 1153385612 Enrollment ID: O20041115000607 |
Mailing Address | Practice Location Address |
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Mr Brandon Kent Kemmerer, CAA 3245 Nw 25th Way, Boca Raton, FL 33434-3409 Ph: (561) 929-2097 | Mr Brandon Kent Kemmerer, CAA 4211 Van Dyke Rd, Lutz, FL 33558-8005 Ph: (813) 443-7000 |
Trevor Peters, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Sena Moore, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Garren Dial, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Kevin Scott, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Lauren Page Calcutti, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Mr. Hunter Reece Heinlein, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 |