Patricia Ann Sullivan-liebig, CRNA | |
282 Oak Haven Dr, Melbourne, FL 32940-1810 | |
(321) 863-6531 | |
(321) 254-6196 |
Full Name | Patricia Ann Sullivan-liebig |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 42 Years |
Location | 282 Oak Haven Dr, Melbourne, 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 |
---|---|---|---|
1073627980 | NPI | - | NPPES |
302046100 | Medicaid | FL | |
G0636 | Other | FL | BCBSFL |
430000819 | Other | FL | RRMCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP1717682 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Melbourne Regional Medical Center | Melbourne, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Brevard Anesthesiologists Pa | 3577477314 | 28 |
Entity Name | Central Brevard Anesthesiologists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205875671 PECOS PAC ID: 3577477314 Enrollment ID: O20031118000796 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Mailing Address | Practice Location Address |
---|---|
Patricia Ann Sullivan-liebig, CRNA 282 Oak Haven Dr, Melbourne, FL 32940-1810 Ph: (321) 863-6531 | Patricia Ann Sullivan-liebig, CRNA 282 Oak Haven Dr, Melbourne, FL 32940-1810 Ph: (321) 863-6531 |
Barry T Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Thomas Harold Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2134 Nebula Way Unit 101, Melbourne, FL 32904 Phone: 256-990-5466 | |
Sandra Jean Bess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 625 Sandpiper Cir, Melbourne, FL 32901 Phone: 321-727-8071 Fax: 321-727-8071 | |
Christine L Croskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Medical Park Dr, Ste 101, Melbourne, FL 32901 Phone: 321-729-9493 | |
Patricia Navara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Kandee G Coppala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |