Shirley Phan, | |
1600 Sw Archer Rd, Gainesville, FL 32610-8205 | |
(352) 273-8610 | |
Not Available |
Full Name | Shirley Phan |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1600 Sw Archer Rd, Gainesville, 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 |
---|---|---|---|
1679953657 | NPI | - | NPPES |
112370400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP2933272 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Anesthesia Dynamics Llc | 3779832530 | 379 |
Anesthesia Physician Solutions Of North Florida Llc | 5597066001 | 248 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Anesthesiologists Of Greater Orlando Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929 |
Entity Name | Innovative Medical Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
Entity Name | Fleming Island Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Entity Name | Orange Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902261761 PECOS PAC ID: 1951606680 Enrollment ID: O20160218000237 |
Entity Name | Physician Partners Of America Crna Operations Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992129365 PECOS PAC ID: 8022239722 Enrollment ID: O20160421000842 |
Entity Name | Florida Pain Relief Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
Entity Name | Apollo Medical Group Of Ocala Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477326908 PECOS PAC ID: 3678922820 Enrollment ID: O20231213000936 |
Mailing Address | Practice Location Address |
---|---|
Shirley Phan, 9456 Worthington Ridge Rd, Orlando, FL 32829-8205 Ph: (321) 206-8137 | Shirley Phan, 1600 Sw Archer Rd, Gainesville, FL 32610-8205 Ph: (352) 273-8610 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 | |
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861 |