Mr Edwin Yanul Disla, CRNA | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-7000 | |
Not Available |
Full Name | Mr Edwin Yanul Disla |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1350 Hickory St, Melbourne, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497098412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN3089142 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ophthalmology Anesthesia Services Llc | 3870491038 | 8 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Ophthalmology Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093741753 PECOS PAC ID: 3870491038 Enrollment ID: O20031224000037 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin Yanul Disla, CRNA 11921 Nautica Dr, Orlando, FL 32827-7119 Ph: (321) 278-8848 | Mr Edwin Yanul Disla, CRNA 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7000 |
Barry T Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Thomas Harold Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2134 Nebula Way Unit 101, Melbourne, FL 32904 Phone: 256-990-5466 | |
Patricia Ann Sullivan-liebig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 282 Oak Haven Dr, Melbourne, FL 32940 Phone: 321-863-6531 Fax: 321-254-6196 | |
Sandra Jean Bess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 625 Sandpiper Cir, Melbourne, FL 32901 Phone: 321-727-8071 Fax: 321-727-8071 | |
Christine L Croskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Medical Park Dr, Ste 101, Melbourne, FL 32901 Phone: 321-729-9493 | |
Patricia Navara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Kandee G Coppala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |