Terry L Bax, CRNA | |
421 Se Alfred Markham St, Lake City, FL 32025-2204 | |
(386) 697-1364 | |
(888) 370-3379 |
Full Name | Terry L Bax |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 421 Se Alfred Markham St, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154315612 | NPI | - | NPPES |
301528900 | Medicaid | FL | |
G1977 | Other | FL | BLUE SHIELD PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP3002322 (Florida) | Primary |
Entity Name | Nature Coast Anesthesia Providers Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578557104 PECOS PAC ID: 2163471723 Enrollment ID: O20050120000852 |
Entity Name | Somnicare Anesthesia & Spine Intervention Specialist, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962712794 PECOS PAC ID: 4688859960 Enrollment ID: O20110502000379 |
Mailing Address | Practice Location Address |
---|---|
Terry L Bax, CRNA 421 Se Alfred Markham St, Lake City, FL 32025-2204 Ph: (386) 697-1364 | Terry L Bax, CRNA 421 Se Alfred Markham St, Lake City, FL 32025-2204 Ph: (386) 697-1364 |
Lewis Mitchell Sharp, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 198 Sw Governors Gln, Lake City, FL 32024 Phone: 386-623-2899 | |
Ms. Pamela Nichols Robinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 404 Nw Hall Of Fame Dr, Lake City, FL 32055 Phone: 386-487-3930 | |
Celeste B Webb, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 421 Se Alfred Markham St, Lake City, FL 32025 Phone: 386-697-1364 Fax: 888-370-3379 | |
Eileen Molyet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 Se Alfred Markham St, Lake City, FL 32025 Phone: 386-697-1364 Fax: 888-370-3379 | |
William S Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 Se Alfred Markham St, Lake City, FL 32025 Phone: 386-697-1364 Fax: 888-370-3379 | |
Miss Mary Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 Se Alfred Markham St, Lake City, FL 32025 Phone: 386-697-1364 Fax: 888-370-3379 |