| Eric Brian Ewald, CRNA | |
|
21298 Olean Blvd, Port Charlotte, FL 33952-6705 | |
| (941) 629-1181 | |
| Not Available |
| Full Name | Eric Brian Ewald |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 21298 Olean Blvd, Port Charlotte, 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 |
|---|---|---|---|
| 1780781443 | NPI | - | NPPES |
| 3810008119 | Other | WV | MEDICAID |
| 8238851 | Other | WV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 69110 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9490042 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Hospital | Lexington, KY | Hospital |
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Brian Ewald, CRNA 3415 Knox Ter, Port Charlotte, FL 33948-2215 Ph: (941) 421-4162 | Eric Brian Ewald, CRNA 21298 Olean Blvd, Port Charlotte, FL 33952-6705 Ph: (941) 629-1181 |
Mrs. Lauren Arthur, CRNA, ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Kouji J. Bowser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Blaine E Griffiths Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 | |
Daniel Carl Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220 |