| Colette Suzanne Ellis, CRNA | |
|
1545 Hand Ave Ste A1, Ormond Beach, FL 32174 | |
| (386) 274-2977 | |
| (386) 274-2997 |
| Full Name | Colette Suzanne Ellis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 1545 Hand Ave Ste A1, Ormond Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295792067 | NPI | - | NPPES |
| 004480400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2156 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9168266 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Anesthesia Associates P C | 0042118069 | 53 |
| Entity Name | Allied Anesthesia Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Colette Suzanne Ellis, CRNA 1671 N Clyde Morris Blvd Ste 100, Daytona Beach, FL 32117-5590 Ph: (386) 274-2977 | Colette Suzanne Ellis, CRNA 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Ph: (386) 274-2977 |
Evelyn V Santiago Gonzalez, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Phone: 386-274-2977 Fax: 386-274-2997 | |
Anthony Otero Falero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Sterthaus Dr, Ormond Beach, FL 32174 Phone: 787-553-0831 | |
Virginia G Franks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Circle Creek Way, Ormond Beach, FL 32174 Phone: 913-961-0415 | |
William Self, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 495 S Nova Rd Ste 101a, Ormond Beach, FL 32174 Phone: 386-487-4673 | |
Ann B Hendrix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Phone: 386-274-2977 Fax: 386-274-2997 | |
Gayle E Perry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3766 Roscommon Dr, Pmb 190, Ormond Beach, FL 32174 Phone: 407-782-2474 |