| Brian Anderson, | |
|
113 Rose Briar Dr, Longwood, FL 32750-2732 | |
| (407) 919-8721 | |
| Not Available |
| Full Name | Brian Anderson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 113 Rose Briar Dr, Longwood, 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 |
|---|---|---|---|
| 1508588120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9460794 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11026352 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Anderson, 113 Rose Briar Dr, Longwood, FL 32750-2732 Ph: (407) 919-8721 | Brian Anderson, 113 Rose Briar Dr, Longwood, FL 32750-2732 Ph: (407) 919-8721 |
Mrs. Lynda Linde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 321-843-2584 Fax: 407-896-9585 | |
Angela G Diaz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434 Ste 105, Longwood, FL 32750 Phone: 407-260-6000 Fax: 407-260-2133 | |
Shamar Anthony Marston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W Fl - 434, Longwood, FL 32750 Phone: 954-303-5508 | |
Mr. Victor David Pareja, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 407-831-0945 |