| Daisy L Cousins, CRNA | |
|
2173a Centerville Pl, Tallahassee, FL 32308-4356 | |
| (850) 385-0144 | |
| (850) 385-0146 |
| Full Name | Daisy L Cousins |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 2173a Centerville Pl, Tallahassee, 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 |
|---|---|---|---|
| 1861476301 | NPI | - | NPPES |
| G2225 | Other | FL | BCBS OF FL |
| 330769 | Medicaid | AL | |
| 302294300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP1959882 (Florida) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3-001242 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montgomery Anesthesia Associates, Pc | 9537153572 | 51 |
| Premier Anesthesia Of Montgomery Pc | 5799684148 | 115 |
| Ams National Llc | 3870813025 | 314 |
| Entity Name | Premier Anesthesia Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
| Entity Name | Usa Health Anesthesia Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy L Cousins, CRNA Po Box 452198, Sunrise, FL 33345-2198 Ph: (954) 838-2371 | Daisy L Cousins, CRNA 2173a Centerville Pl, Tallahassee, FL 32308-4356 Ph: (850) 385-0144 |
Amy Kirby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Amy Nation, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Robert Louis Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2173a Centerville Pl, Anesthesiology Associates Of Tallahassee, Tallahassee, FL 32308 Phone: 850-385-0144 Fax: 850-385-0146 | |
Jeniffer M Pelletier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-431-5340 | |
Henry Allen Mathews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2173a Centerville Pl, Anesthesiology Associates Of Tallahassee, Tallahassee, FL 32308 Phone: 850-385-0144 Fax: 850-385-0146 | |
Alison Thumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2173a Centerville Pl, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Margaret Jane Riggins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2173a Centerville Pl, Tallahassee, FL 32308 Phone: 850-385-0144 Fax: 850-385-0146 |