| Alvin Chackungal, | |
|
12182 Sw 122nd Ct, Miami, FL 33186-9025 | |
| (305) 967-0066 | |
| Not Available |
| Full Name | Alvin Chackungal |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 12182 Sw 122nd Ct, Miami, 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 |
|---|---|---|---|
| 1407530447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9480539 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11033611 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Univ Of Miami Hospital And Clinics-sylvester Compr | Miami, FL | Hospital |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Miami | 3274795109 | 2346 |
| Capital Anesthesia Solutions Of Florida Ii, Llc | 7911323720 | 327 |
| 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 |
| Entity Name | University of Miami |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Alvin Chackungal, 12182 Sw 122nd Ct, Miami, FL 33186-9025 Ph: (305) 967-0066 | Alvin Chackungal, 12182 Sw 122nd Ct, Miami, FL 33186-9025 Ph: (305) 967-0066 |
Diego Luna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Nw 17th St, Miami, FL 33136 Phone: 305-243-6411 |
Ilene Ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11750 Sw 40th Street, Miami, FL 33175 Phone: 305-223-4123 |
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Jenny Ivette Morales-sotomayor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Nw 95th St, Miami, FL 33150 Phone: 787-662-5032 Fax: 866-665-2702 |
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Samantha Asher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 |
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