Mrs Tara Jean Purcell, CRNA | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(850) 862-1111 | |
Not Available |
Full Name | Mrs Tara Jean Purcell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1000 Mar Walt Dr, Fort Walton Beach, 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 |
---|---|---|---|
1467874073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP 3193362 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fulton County Health Center | Wauseon, OH | Hospital |
Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Physicians | 2365348190 | 827 |
Northern Anesthesia Providers Llc | 2567682073 | 10 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Entity Name | Kettering Anesthesia Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627739 PECOS PAC ID: 0648170365 Enrollment ID: O20040109000871 |
Entity Name | Dayton Anesthesia & Pain Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
Entity Name | Northern Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821498650 PECOS PAC ID: 2567682073 Enrollment ID: O20141006000980 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tara Jean Purcell, CRNA 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 862-1111 | Mrs Tara Jean Purcell, CRNA 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 862-1111 |
Mrs. Tara Michelle Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Michael Angeloro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 995 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7887 | |
Sean Eric Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-315-4299 Fax: 866-743-4759 | |
Samantha Hite, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Alexandra Valencik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Kathryn Jo Newton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Ms. Trudy K Kammerman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-474-8100 Fax: 850-474-8083 |