Mr Raymond Carl Trussell Jr, SRNA | |
421 N 21st Ave, Hollywood, FL 33020-4013 | |
(305) 899-4722 | |
Not Available |
Full Name | Mr Raymond Carl Trussell Jr |
---|---|
Gender | Male |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 421 N 21st Ave, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083297261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN9554242 (Florida) | Primary |
Entity Name | Usa Health Anesthesia Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
Mailing Address | Practice Location Address |
---|---|
Mr Raymond Carl Trussell Jr, SRNA 921 S Park Rd Apt 210, Hollywood, FL 33021-8756 Ph: (334) 740-1683 | Mr Raymond Carl Trussell Jr, SRNA 421 N 21st Ave, Hollywood, FL 33020-4013 Ph: (305) 899-4722 |
Adriana Schneider, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1323 N 15th Ave, Hollywood, FL 33020 Phone: 561-809-5169 | |
Miriam Harrar, Registered Nurse Medicare: Medicare Enrolled Practice Location: 4730 Sarazen Dr, Hollywood, FL 33021 Phone: 305-331-3230 | |
Melissa Mason, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Katherine Jane Sternlieb, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6001 N Ocean Dr Ph 5, Hollywood, FL 33019 Phone: 954-439-2666 | |
Clementina Carswell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2634 Plunkett St, Hollywood, FL 33020 Phone: 954-929-4071 | |
Ann E Bivona, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 South Ocean Drive #1612, Hollywood, FL 33019 Phone: 516-456-2119 Fax: 631-231-3057 |