| Richard Klementavicius, MD | |
|
617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 | |
| (850) 934-4107 | |
| (850) 934-4107 |
| Full Name | Richard Klementavicius |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | 617 Bay Cliffs Rd, Gulf Breeze, 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 |
|---|---|---|---|
| 1609828490 | NPI | - | NPPES |
| 46336 | Other | FL | BCBS |
| 59169917 | Other | AL | BCBS |
| 009984555 | Medicaid | AL | |
| 256621400 | Medicaid | FL | |
| P00134526 | Other | PALMETTO GBA-RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME77791 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Hospital | Pensacola, FL | Hospital |
| Gulf Breeze Hospital | Gulf breeze, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Ams Baptist Llc | 6901099688 | 75 |
| Ams Of Gulf Breeze Llc | 9537326665 | 35 |
| Entity Name | Ams Baptist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236 |
| 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 | Ams Of Gulf Breeze Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611 |
| 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 |
|---|---|
| Richard Klementavicius, MD 617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 Ph: (850) 934-4107 | Richard Klementavicius, MD 617 Bay Cliffs Rd, Gulf Breeze, FL 32561-4805 Ph: (850) 934-4107 |
Dr. Anthony A Giberman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-934-2000 | |
Alexander Thomas Nowicki, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 Fax: 850-434-4683 | |
Douglas E Boler, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1337 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-735-4907 Fax: 850-735-4907 | |
Dr. Mark Wayne Morgan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 | |
Dr. Peter K Mciver, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 Montrose Blvd, Gulf Breeze, FL 32561 Phone: 850-501-0200 | |
Benjamin Cooke, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy Ste 100, Gulf Breeze, FL 32561 Phone: 850-916-8700 |