Mellissa Dianne Pennington, CRNA in Gulf Breeze, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Mellissa Dianne Pennington, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulf Breeze, Florida. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ams Of Gulf Breeze Llc, Anesthesia Dynamics Llc and her current practice location is 4 Ocean View Dr, Gulf Breeze, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 934-8157.

Mellissa Dianne Pennington is licensed to practice in Florida (license number ARNP9212211) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144222662.

Contact Information

	Mellissa Dianne Pennington, CRNA
	4 Ocean View Dr, Gulf Breeze, FL 32561-2436
	(850) 934-8157
	Not Available

Map and Direction

Provider's Profile

Full Name	Mellissa Dianne Pennington
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	4 Ocean View Dr, Gulf Breeze, 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.

Medical Education and Training:

Mellissa Dianne Pennington graduated from nursing school in 2003

NPI Data:

NPI Number: 1144222662
Provider Enumeration Date: 08/15/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769468107
Enrollment ID: I20040626000426

Medical Identifiers

Medical identifiers for Mellissa Dianne Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144222662	NPI	-	NPPES
G3473	Other	FL	BLUE CROSS & BLUE SHIELD
59170994	Other	AL	BLUE CROSS & BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9212211 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gulf Breeze Hospital	Gulf breeze, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ams Of Gulf Breeze Llc	9537326665	37
Anesthesia Dynamics Llc	3779832530	363

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mellissa Dianne Pennington allows following entities to bill medicare on her behalf.

Entity Name	Ams Baptist Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236

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	Ams Of Gulf Breeze Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611

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	Florida Gulf Coast Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013522325 PECOS PAC ID: 8224458518 Enrollment ID: O20201027001114

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mellissa Dianne Pennington is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mellissa Dianne Pennington, CRNA 4 Ocean View Dr, Gulf Breeze, FL 32561-2436 Ph: (850) 934-8157	Mellissa Dianne Pennington, CRNA 4 Ocean View Dr, Gulf Breeze, FL 32561-2436 Ph: (850) 934-8157

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gulf Breeze, FL

Dale L. Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-916-8700
Mrs. Amanda Zbaren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Suite 100, Gulf Breeze, FL 32561 Phone: 850-916-8500
Robert Lance Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Ocean View Dr, Gulf Breeze, FL 32561 Phone: 850-934-8157
Ms. Jill Anne Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Autumn Breeze Cir, Gulf Breeze, FL 32563 Phone: 850-288-1998
Jennifer Bryant Gronert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2593 Mary Fox Dr, Gulf Breeze, FL 32563 Phone: 850-207-6824
Thomas W Huff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 Fax: 850-434-4683

Mellissa Dianne Pennington, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulf Breeze, FL