| Anthony Gray, CRNA | |
|
6500 W Newberry Rd, Gainesville, FL 32605-4309 | |
| (352) 333-4180 | |
| (352) 333-4861 |
| Full Name | Anthony Gray |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6500 W Newberry Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649373549 | NPI | - | NPPES |
| 034914300 | Medicaid | FL | |
| G1512 | Other | FL | BCBS |
| 430077375 | Other | FL | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1984732 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP1984732 (Florida) | Primary |
| Entity Name | Anesthesia Physician Solutions of North Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Gray, CRNA 13150 Nw 50th Ave, Gainesville, FL 32606-3561 Ph: (352) 339-6048 | Anthony Gray, CRNA 6500 W Newberry Rd, Gainesville, FL 32605-4309 Ph: (352) 333-4180 |
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 |
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 |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 |
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861 |