William Self, - Medicare Certified Registered Nurse Anesthetist (crna) in Ormond Beach, FL

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William Self, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ormond Beach, Florida. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Services Of Florida Inc, Florida Clinical Practice Association, Us Anesthesia Partners Of Florida Inc and his current practice location is 495 S Nova Rd Ste 101a, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 487-4673.

William Self is licensed to practice in Florida (license number APRN9257951) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245503093.

Contact Information

William Self,
495 S Nova Rd Ste 101a,
Ormond Beach, FL 32174-8444
(386) 487-4673
Not Available

Map and Direction




Provider's Profile

Full NameWilliam Self
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location495 S Nova Rd Ste 101a, Ormond Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William Self graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1245503093
  • Provider Enumeration Date: 02/09/2012
  • Last Update Date: 12/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587825138
  • Enrollment ID: I20120409000458

Medical Identifiers

Medical identifiers for William Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245503093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9257951 (ZZ)Secondary
367500000XNurse Anesthetist, Certified Registered APRN9257951 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Services Of Florida Inc1850674540257
Florida Clinical Practice Association03451462541636
Us Anesthesia Partners Of Florida Inc0345143152786

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. William Self allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameAnesthesiology Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902856891
PECOS PAC ID: 4688577141
Enrollment ID: O20040130000927
Entity NameAmerican Anesthesiology Services Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508318387
PECOS PAC ID: 1850674540
Enrollment ID: O20170202001989

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. William Self 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 AddressPractice Location Address
William Self,
1329 Sw 16th St Rm 2232,
Gainesville, FL 32608-1128

Ph: (352) 733-0485		William Self,
495 S Nova Rd Ste 101a,
Ormond Beach, FL 32174-8444

Ph: (386) 487-4673

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ormond Beach, FL

Evelyn V Santiago Gonzalez, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174
Phone: 386-274-2977    Fax: 386-274-2997
Anthony Otero Falero, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 901 Sterthaus Dr, Ormond Beach, FL 32174
Phone: 787-553-0831    
Virginia G Franks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2 Circle Creek Way, Ormond Beach, FL 32174
Phone: 913-961-0415    
Colette Suzanne Ellis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174
Phone: 386-274-2977    Fax: 386-274-2997
Ann B Hendrix, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174
Phone: 386-274-2977    Fax: 386-274-2997
Gayle E Perry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3766 Roscommon Dr, Pmb 190, Ormond Beach, FL 32174
Phone: 407-782-2474    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.