| Robert J Bastian, MD | |
| 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | |
| (772) 337-7676 | |
| (772) 337-9034 | 
| Full Name | Robert J Bastian | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 1874 Se Port St Lucie Blvd, Port St Lucie, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588602726 | NPI | - | NPPES | 
| 256049600 | Medicaid | FL | |
| 44956 | Other | FL | BCBS OF FLORIDA | 
| 050075157 | Other | FL | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | ME77606 (Florida) | Primary | 
| 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 | 
| Entity Name | St Lucie Anesthesia Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert J Bastian, MD 3225 Sw Braemar Way, Port Saint Lucie, FL 34952 Ph: () - | Robert J Bastian, MD 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 Ph: (772) 337-7676 | 
| Dr. Steven M Langer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-2471 Fax: 772-335-2497 | |
| Jay Kuchera, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10244 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-924-2527 Fax: 772-337-9034 | |
| Dr. James Michael D'amato, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
| Melinda Leigh Ball, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 917-400-2513 | |
| Ulises D Fernandez Miro, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
| Dr. Dakshinamurthy Singaravelu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 561-548-1272 Fax: 561-548-3699 | |
| Daniel David Carlyle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100 |