Ms Tammy L Carroll, CRNA | |
655 W 8th St, Ufjp Anesthesia Dept., Jacksonville, FL 32209-6511 | |
(904) 244-4195 | |
(904) 244-4908 |
Full Name | Ms Tammy L Carroll |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 655 W 8th St, Jacksonville, 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 |
---|---|---|---|
1497724595 | NPI | - | NPPES |
627820832B | Medicaid | GA | |
3067301-00 | Medicaid | FL | |
627820832A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP2934962 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | ARNP2934962 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
---|---|
Ms Tammy L Carroll, CRNA Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199 | Ms Tammy L Carroll, CRNA 655 W 8th St, Ufjp Anesthesia Dept., Jacksonville, FL 32209-6511 Ph: (904) 244-4195 |
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855 | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220 | |
Tabitha Jay Barrett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 954-939-5216 | |
Kristin Denise Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |