Mr Nicholas M Kalynych, CRNA | |
690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081-0611 | |
(904) 412-2593 | |
(904) 686-1817 |
Full Name | Mr Nicholas M Kalynych |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 690 Majestic Eagle Dr, Ponte Vedra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003884347 | NPI | - | NPPES |
3034364-00 | Medicaid | FL | |
000892009A | Medicaid | GA | |
G20357 | Other | FL | BLUE CROSS / BLUE SHIELD NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3014012 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3014012 (Florida) | Primary |
Entity Name | Baker County Medical Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104926401 PECOS PAC ID: 6103710264 Enrollment ID: O20040210000578 |
Entity Name | Fleming Island Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Entity Name | Amelia Anesthesia Pl |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508103540 PECOS PAC ID: 9436394673 Enrollment ID: O20130318000401 |
Entity Name | Sunbelt Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205172079 PECOS PAC ID: 9436392438 Enrollment ID: O20130823000172 |
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 | Spring Hill Anesthesiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750996294 PECOS PAC ID: 6800215443 Enrollment ID: O20200930002080 |
Entity Name | Revitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073168241 PECOS PAC ID: 6800295650 Enrollment ID: O20211202000426 |
Entity Name | Altitude Health Corp I Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831970029 PECOS PAC ID: 4587004395 Enrollment ID: O20240426002164 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas M Kalynych, CRNA 690 Majestic Eagle Dr, Sunbelt Anesthesia Services,llc, Ponte Vedra, FL 32081-0611 Ph: (904) 412-2593 | Mr Nicholas M Kalynych, CRNA 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081-0611 Ph: (904) 412-2593 |
Patrick Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 204 Potters Mill Trl, Ponte Vedra, FL 32081 Phone: 516-779-0913 | |
Luana Purdy, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 158 Gray Wolf Trl, Ponte Vedra, FL 32081 Phone: 954-232-8816 |