| David I Antokal, CRNA | |
|
601 Dallas Hwy, Villa Rica, GA 30180-1202 | |
| (770) 456-3000 | |
| (770) 456-3460 |
| Full Name | David I Antokal |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 601 Dallas Hwy, Villa Rica, Georgia |
| 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 |
|---|---|---|---|
| 1417910001 | NPI | - | NPPES |
| 464995055A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN129608 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11000385 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Petersburg General Hospital | Saint petersburg, FL | Hospital |
| Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine State Anesthesia Partners Llc | 8123434792 | 426 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| David I Antokal, CRNA 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 836-9666 | David I Antokal, CRNA 601 Dallas Hwy, Villa Rica, GA 30180-1202 Ph: (770) 456-3000 |
Yushonda D. Lofton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-456-3701 | |
Jerry Price Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Barrington Ln, Villa Rica, GA 30180 Phone: 770-824-7855 | |
Sophia Suddes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3000 |