Sena Moore, | |
4211 Van Dyke Rd, Lutz, FL 33558-8005 | |
(813) 443-7000 | |
Not Available |
Full Name | Sena Moore |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 3 Years |
Location | 4211 Van Dyke Rd, Lutz, 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 |
---|---|---|---|
1164199642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay Area Anesthesia Llc | 1153385612 | 35 |
Entity Name | Bay Area Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134210040 PECOS PAC ID: 1153385612 Enrollment ID: O20041115000607 |
Mailing Address | Practice Location Address |
---|---|
Sena Moore, 1316 61st St Nw, Bradenton, FL 34209-1419 Ph: (404) 357-2677 | Sena Moore, 4211 Van Dyke Rd, Lutz, FL 33558-8005 Ph: (813) 443-7000 |
Trevor Peters, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Mr. Brandon Kent Kemmerer, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Garren Dial, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Kevin Scott, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Lauren Page Calcutti, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Mr. Hunter Reece Heinlein, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 |