| Collin Bodge Radcliffe, ARNP, CRNA | |
|
13535 Nemours Pkwy, Orlando, FL 32827-7402 | |
| (407) 567-4000 | |
| (407) 567-5924 |
| Full Name | Collin Bodge Radcliffe |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 13535 Nemours Pkwy, Orlando, 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 |
|---|---|---|---|
| 1760918650 | NPI | - | NPPES |
| 021205100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209028820 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9265313 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rochester General Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Vi Pc | 0749688000 | 20 |
| Perimeter Anesthesia Llc | 2567763048 | 14 |
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| Rochester General Hospital | 0244149474 | 1063 |
| The Unity Hospital Of Rochester | 9436060969 | 637 |
| Entity Name | G & G Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20200512001499 |
| Entity Name | Lifelinc Anesthesia Vi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487221628 PECOS PAC ID: 0749688000 Enrollment ID: O20211018001772 |
| Entity Name | Liberty Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626258 PECOS PAC ID: 3870985641 Enrollment ID: O20220128000603 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Collin Bodge Radcliffe, ARNP, CRNA 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4100 | Collin Bodge Radcliffe, ARNP, CRNA 13535 Nemours Pkwy, Orlando, FL 32827-7402 Ph: (407) 567-4000 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 | |
Yvonne Fulbright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 |