Mr Glen Roland Horne, CRNA | |
5 Calhoun Ave, Unit 606, Destin, FL 32541-5509 | |
(404) 310-6048 | |
(404) 255-1831 |
Full Name | Mr Glen Roland Horne |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5 Calhoun Ave, Destin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013088194 | NPI | - | NPPES |
156961100 | Other | GA | U.S. DEPT OF LABOR |
52159539-001 | Other | GA | BLUE CROSS BLUE SHIELD |
9975585 | Other | GA | UNIVERSAL HEALTHCARE |
430010318 | Other | GA | RAIL ROAD MEDICARE |
430010318 | Other | GA | TRI-CARE |
000521435B | Medicaid | GA | |
20-02624 | Other | GA | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 9397267 (Florida) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 110691 (North Carolina) | Secondary |
Entity Name | Jackson Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033168612 PECOS PAC ID: 0749273282 Enrollment ID: O20040408000329 |
Entity Name | St Lucie Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 |
Entity Name | Anesthesia Services Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659670453 PECOS PAC ID: 6901083781 Enrollment ID: O20110602000753 |
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 | All Services Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053608786 PECOS PAC ID: 3577733799 Enrollment ID: O20110825000756 |
Entity Name | Miami Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821475179 PECOS PAC ID: 1355651837 Enrollment ID: O20151112002797 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Glen Roland Horne, CRNA 5 Calhoun Ave, Unit 606, Destin, FL 32541-5509 Ph: (404) 310-6048 | Mr Glen Roland Horne, CRNA 5 Calhoun Ave, Unit 606, Destin, FL 32541-5509 Ph: (404) 310-6048 |
Adam Milligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4720 Rendezvous Cv, Destin, FL 32541 Phone: 404-632-2577 | |
Sandra A Dulian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 Fax: 850-337-1698 | |
Kalyn Saunders, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 | |
Anne W. Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4565 Woodwind Dr, Destin, FL 32541 Phone: 251-680-2183 Fax: 251-680-2183 | |
Helena B Grandgenett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4485 Furling Ln, Destin, FL 32541 Phone: 850-650-7606 Fax: 850-337-1698 | |
Amanda Jill Handley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 |