Ms Miyvetteshaune Marquisette Green, CRNA | |
3020 Sw 1st Street, Ft Lauderdale, FL 33312 | |
(954) 584-5811 | |
Not Available |
Full Name | Ms Miyvetteshaune Marquisette Green |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 3020 Sw 1st Street, Ft Lauderdale, 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 |
---|---|---|---|
1609080746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 3314562 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3314562 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Broward Health North | Pompano beach, FL | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesco North Broward Llc | 3173436094 | 129 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Anesco North Broward Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
Entity Name | Jupiter Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
Entity Name | Galloway Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689989139 PECOS PAC ID: 0143402917 Enrollment ID: O20110315001054 |
Mailing Address | Practice Location Address |
---|---|
Ms Miyvetteshaune Marquisette Green, CRNA 3020 Sw 1st St, Ft Lauderdale, FL 33312-1268 Ph: (954) 584-5811 | Ms Miyvetteshaune Marquisette Green, CRNA 3020 Sw 1st Street, Ft Lauderdale, FL 33312 Ph: (954) 584-5811 |
Peter W Cross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1126 S Federal Hwy, #149, Ft Lauderdale, FL 33316 Phone: 808-292-5636 | |
Greta E. Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Ft Lauderdale, FL 33309 Phone: 954-703-2931 | |
Victoria M Tramazzo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6401 North Federal Highway, Imperial Point Med Center, Ft Lauderdale, FL 33308 Phone: 954-776-8500 | |
Jacklyn Gramer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Susan L. Kotoff, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Steve Khavandegaran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-703-2931 Fax: 954-585-9207 | |
Mario Rosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |