| Adel Bashirimoghaddam, | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-2616 | |
| (352) 273-8610 | |
| (352) 273-8612 |
| Full Name | Adel Bashirimoghaddam |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1600 Sw Archer Rd, Gainesville, 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 |
|---|---|---|---|
| 1518537612 | NPI | - | NPPES |
| 113461900 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Memorial Hospital | Miami, FL | Hospital |
| Coral Gables Hospital | Coral gables, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Anesthesia Group One Pllc | 1052653276 | 22 |
| Public Health Trust Of Miami Dade County Florida | 0244380434 | 469 |
| Gulfstream Anesthesia Group Llc | 7416028725 | 19 |
| Iq Board Certified Services | 5395220792 | 11 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Filutowski Eye Institute PA |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1760594279 PECOS PAC ID: 6406843945 Enrollment ID: O20071108000399 |
| Entity Name | Filutowski Eye Institute PA |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1760594279 PECOS PAC ID: 6406843945 Enrollment ID: O20080110000347 |
| Entity Name | Gulfstream Anesthesia Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225207483 PECOS PAC ID: 7416028725 Enrollment ID: O20080613000352 |
| Entity Name | Filutowski Eye Institute PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910385 PECOS PAC ID: 6406843945 Enrollment ID: O20080910000126 |
| Entity Name | Public Health Trust of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019 |
| Entity Name | South Florida Anesthesia & Pain Treatment PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528302866 PECOS PAC ID: 8426201401 Enrollment ID: O20121227000396 |
| Entity Name | Iq Board Certified Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316719198 PECOS PAC ID: 5395220792 Enrollment ID: O20260403000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Adel Bashirimoghaddam, Po Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610 | Adel Bashirimoghaddam, 1600 Sw Archer Rd, Gainesville, FL 32610-2616 Ph: (352) 273-8610 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 |
Kyndal Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 |
J'woin Maalik Harrison, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-7906 |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 |