Dr Gwendolynn Delores Johnson Randall, CRNA, PHD,APRN | |
1000 36th St, Vero Beach, FL 32960-4862 | |
(772) 776-9621 | |
(772) 778-3494 |
Full Name | Dr Gwendolynn Delores Johnson Randall |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 1000 36th St, Vero 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 |
---|---|---|---|
1184676975 | NPI | - | NPPES |
G3421 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 17249 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN3034802 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Services Of Florida Inc | 1850674540 | 153 |
Sheridan Healthcorp Inc | 3173429693 | 837 |
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 | Indian River Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
Entity Name | South Florida Anesthesia & Pain Treatment Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528302866 PECOS PAC ID: 8426201401 Enrollment ID: O20121227000396 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Entity Name | American Anesthesiology Services Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
Entity Name | West Florida Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962926568 PECOS PAC ID: 7517231186 Enrollment ID: O20170920001600 |
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 | Orange County Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003434762 PECOS PAC ID: 3274957998 Enrollment ID: O20200728000279 |
Entity Name | Swf Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588236954 PECOS PAC ID: 3072917111 Enrollment ID: O20210811001381 |
Mailing Address | Practice Location Address |
---|---|
Dr Gwendolynn Delores Johnson Randall, CRNA, PHD,APRN 104 Suffolk Dr, Royal Palm Beach, FL 33411-8262 Ph: (561) 628-1930 | Dr Gwendolynn Delores Johnson Randall, CRNA, PHD,APRN 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 776-9621 |
Mr. Numukunda Darboe, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Nit Khamvongs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Us Highway 1, Vero Beach, FL 32960 Phone: 772-299-1404 Fax: 772-299-1455 | |
Mr. David M Almasy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Ms. Rosemary Zara Ricci, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1875 Robalo Dr, Vero Beach, FL 32960 Phone: 310-210-4771 | |
Ashlee Antoinette Clark, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Sharon Clare Gahan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Cleveland Clinic Indian River Hospital, 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |