| Edward Kelmenson, MD | |
|
1700 S 23rd St, Fort Pierce, FL 34950-4803 | |
| (772) 461-4000 | |
| (866) 665-2702 |
| Full Name | Edward Kelmenson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | 1700 S 23rd St, Fort Pierce, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548285687 | NPI | - | NPPES |
| 1654066 | Other | PA | HIGHMARK BLUE SHIELD |
| 90174 | Other | PA | GEISINGER HEALTH PLAN |
| 50041807 | Other | PA | KEYSTONE HEALTH PLAN CENT |
| 50041807 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD423579 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | ME114394 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Physician Solutions Of North Florida Llc | 5597066001 | 260 |
| 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 | Anesthesia Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Entity Name | All American Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538643846 PECOS PAC ID: 2668719089 Enrollment ID: O20190123002801 |
| 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 | Floridian Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598391195 PECOS PAC ID: 2860811536 Enrollment ID: O20200929003144 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Kelmenson, MD 36 Harbour Isle Dr W, #202, Hutchinson Island, FL 34949-2788 Ph: (207) 478-5944 | Edward Kelmenson, MD 1700 S 23rd St, Fort Pierce, FL 34950-4803 Ph: (772) 461-4000 |
Ali M Ahmed-elamin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 S 23rd St, Lawnwood Reginal Medical Center, Fort Pierce, FL 34950 Phone: 772-461-4000 | |
Ravi Xavier, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2201 S 25th St, Fort Pierce, FL 34947 Phone: 772-489-0051 Fax: 772-489-0026 |