Ryan Shepherd, | |
1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | |
(321) 837-3820 | |
Not Available |
Full Name | Ryan Shepherd |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 1775 W Hibiscus Blvd Ste 215, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689351223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Entity Name | Brevard Physician Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
Mailing Address | Practice Location Address |
---|---|
Ryan Shepherd, 4499 Us Highway 1, Rockledge, FL 32955-5409 Ph: (321) 266-7123 | Ryan Shepherd, 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 Ph: (321) 837-3820 |
Jolene Keiko Goranovic, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 | |
Mr. Blake Anderson, BS, MS, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 Fax: 321-837-3654 | |
Gregory Michael Hendershot, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 Fax: 321-837-3654 | |
Andrew Sykes Curren, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Denesh Bhoodai, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2627 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935 Phone: 321-837-3820 Fax: 855-819-6516 | |
Anna Joy Miller, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 808-633-3556 | |
Miss Natalie Brecese, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd, Suite 215, Melbourne, FL 32901 Phone: 321-837-3820 |