| Eric Pettitt, CRNA | |
|
301 Landings Dr, Lynn Haven, FL 32444-3242 | |
| (850) 292-2431 | |
| Not Available |
| Full Name | Eric Pettitt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 301 Landings Dr, Lynn Haven, 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 |
|---|---|---|---|
| 1508302761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9346602 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delray Medical Center | Delray beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Florida Inc | 9133390313 | 88 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | American Anesthesiology Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679592893 PECOS PAC ID: 9133390313 Enrollment ID: O20111107000594 |
| Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Pettitt, CRNA 12176 83rd Ln N, West Palm Beach, FL 33412-2288 Ph: (850) 292-2431 | Eric Pettitt, CRNA 301 Landings Dr, Lynn Haven, FL 32444-3242 Ph: (850) 292-2431 |
Mr. David Joe Hamrick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 Driftwood Dr, Lynn Haven, FL 32444 Phone: 850-248-4045 | |
Ms. Susan Marie Waynes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1028 Bradford Cir, Lynn Haven, FL 32444 Phone: 850-258-7680 | |
Mr. Terry Duston Bonner, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 609 N Bay Dr, Lynn Haven, FL 32444 Phone: 850-265-9973 Fax: 850-265-9973 |