| Amanda Vining, MD | |
|
1514 Jefferson Hwy, Jefferson, LA 70121-2429 | |
| (866) 624-7637 | |
| Not Available |
| Full Name | Amanda Vining |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1514 Jefferson Hwy, Jefferson, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346822731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME172677 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Vining, MD 2425 Ne 8th Pl, Ocala, FL 34470-6213 Ph: (601) 297-2973 | Amanda Vining, MD 1514 Jefferson Hwy, Jefferson, LA 70121-2429 Ph: (866) 624-7637 |
Jordan Skye Renschler, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1401a Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-1200 | |
Dr. Nicholas John Marrazzo, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Andrew Paul Mullet, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Laurie Daste, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-268-3673 | |
Alexis Richards, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Megan Harmon, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |