Mrs Kellie Marie Cardenas, CRNA | |
1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 | |
(772) 335-4000 | |
Not Available |
Full Name | Mrs Kellie Marie Cardenas |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 1800 Se Tiffany Ave, Port Saint Lucie, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508360991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9341938 (Florida) | Primary |
163W00000X | Registered Nurse | RN9341938 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Lucie Medical Center | Port saint lucie, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Physician Solutions Of South Florida, Llc | 4688805286 | 210 |
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 | Anesthesia Physician Solutions Of South Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kellie Marie Cardenas, CRNA 178 Sw Glenwood Dr, Port Saint Lucie, FL 34984-5025 Ph: (772) 240-4188 | Mrs Kellie Marie Cardenas, CRNA 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Ph: (772) 335-4000 |
Suzanne E Mininger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Danielle Lyn Rudoff-perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port Saint Lucie Blvd, Anesthesia Department, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-223-3605 | |
Charles David Reams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Maureen Bosco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Lillian M Negron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Mr. Lester Lee Jefferson Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986 Phone: 772-871-9161 |