| Pamela K Bodner, MD | |
|
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
| (954) 838-2667 | |
| Not Available |
| Full Name | Pamela K Bodner |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1613 Harrison Pkwy, Sunrise, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568436061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME67534 (Florida) | Primary |
| 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 |
|---|---|
| Pamela K Bodner, MD Po Box 817737, Hollywood, FL 33081-1737 Ph: () - | Pamela K Bodner, MD 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2667 |
James M. Cogdill, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Pedro R. Fernandez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Nicholas M. Vuong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Skiles (sam) A. Montague, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
W. Vincent Picolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dilsheesh K Purewal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2120 Nw 107th Ter, Sunrise, FL 33322 Phone: 954-741-0636 Fax: 954-741-0639 | |
Roger L. Duncan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2667 |