Spencer Dechert, | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 273-6575 | |
Not Available |
Full Name | Spencer Dechert |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396429742 | NPI | - | NPPES |
118494800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA819 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Spencer Dechert, 8265 Sw 42nd Ct, Davie, FL 33328-2967 Ph: (954) 552-8144 | Spencer Dechert, 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-6575 |
David Andrew Hooper, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6575 Fax: 352-392-7029 | |
Michael John Provost, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
John Howes, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610 Phone: 352-273-8610 | |
Vineet Reddy, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Justin Shawn Piliego, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Morgan Landis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-265-0111 | |
Carey D Boudreau Jr., AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 |