| Crystal Pawula, APRN | |
|
5500 Pinebrook Rd Ste 202, North Venice, FL 34275-3678 | |
| (941) 408-0500 | |
| (941) 496-8558 |
| Full Name | Crystal Pawula |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 5500 Pinebrook Rd Ste 202, North Venice, 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 |
|---|---|---|---|
| 1184092546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9440414 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN9440414 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 665 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Pawula, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Crystal Pawula, APRN 5500 Pinebrook Rd Ste 202, North Venice, FL 34275-3678 Ph: (941) 408-0500 |
Evgeny Gorobtsov, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Laurel Rd E, North Venice, FL 34275 Phone: 941-261-9000 | |
Madelyn Rose Duty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Pinebrook Rd Ste 202, North Venice, FL 34275 Phone: 941-408-0500 Fax: 941-496-8558 | |
Karisa M Young, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Ste 202, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Christie T Le, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Kolten Bush, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Shonna Samantha Bates, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 200, North Venice, FL 34275 Phone: 941-261-0145 Fax: 941-261-0150 |