| Bridget Eleni Kapsokavathis, CRNA | |
|
2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | |
| (813) 844-4434 | |
| (813) 844-4467 |
| Full Name | Bridget Eleni Kapsokavathis |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2 Columbia Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326085101 | NPI | - | NPPES |
| 1811044878 | Other | MI | MEDICARE GROUP NPI |
| G3801 | Other | FL | FL BCBS PROVIDER # |
| 1437268026 | Other | MI | MEDICARE PTAN |
| 307098100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 973712 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP2630332 (Florida) | Primary |
| Entity Name | Northland Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Mymichigan Medical Center Sault |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457305674 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Eleni Kapsokavathis, CRNA 1268 Southfield Rd, Birmingham, MI 48009-3082 Ph: (813) 789-1678 | Bridget Eleni Kapsokavathis, CRNA 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 Ph: (813) 844-4434 |
Robert David Morse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jessica L Zavesky, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 | |
Jamie Wolff, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12912 Usf Health Dr., Tampa, FL 33612 Phone: 813-974-2191 | |
Gina Marie Barber, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 E 9th Ave, Tampa, FL 33605 Phone: 813-844-7000 | |
Dr. Alexandra Campbell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Marlo Javier Molina Zamora, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 | |
Ann Coursey Gorrie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4016 W De Leon St, Tampa, FL 33609 Phone: 202-361-3012 |