Mr Peter L Procko, CRNA is a
Nurse Anesthetist, Certified Registered based in Yulee, Florida. Mr Peter L Procko is licensed to practice in Maine (license number RNA113009) and his current practice location is
86208 Sand Hickory Trl, Yulee, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 556-1404.
NPI number for Mr Peter L Procko is 1396805958 and his current mailing address is 86208 Sand Hickory Trl, Yulee, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396805958.
Provider's Profile
| Full Name | Mr Peter L Procko |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 86208 Sand Hickory Trl, Yulee, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396805958
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 12/29/2016
Medical Identifiers
Medical identifiers for Mr Peter L Procko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396805958 | NPI | - | NPPES |
| P00378017 | Other | GA | RRB |
| 000559237L | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN090565 (Georgia) | Secondary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | ARNP1961972 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN090565 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3390 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA113009 (Maine) | Primary |
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 Peter L Procko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Peter L Procko, CRNA
86208 Sand Hickory Trl,
Yulee, FL 32097-4295
Ph: (904) 556-1404 | Mr Peter L Procko, CRNA
86208 Sand Hickory Trl,
Yulee, FL 32097-4295
Ph: (904) 556-1404 |
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