| Deborah A Ellington, CRNA | |
|
15820 Briarcliff Ln, Fort Myers, FL 33912-4221 | |
| (239) 313-9304 | |
| Not Available |
| Full Name | Deborah A Ellington |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 15820 Briarcliff Ln, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609953769 | NPI | - | NPPES |
| G4196 | Other | FL | BSFL |
| 308119200 | Medicaid | FL | |
| AE291Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN284157 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN2131572 (Florida) | Primary |
| Entity Name | Galloway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689989139 PECOS PAC ID: 0143402917 Enrollment ID: O20110315001054 |
| Entity Name | 1656 Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861734865 PECOS PAC ID: 7012154255 Enrollment ID: O20130508000171 |
| Entity Name | West Florida Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962926568 PECOS PAC ID: 7517231186 Enrollment ID: O20170920001600 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A Ellington, CRNA 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5000 | Deborah A Ellington, CRNA 15820 Briarcliff Ln, Fort Myers, FL 33912-4221 Ph: (239) 313-9304 |
Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432 | |
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622 | |
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569 | |
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 | |
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Adrianne N Noboa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12511 World Plaza Ln, Building 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 |