| Garren Dial, | |
|
4211 Van Dyke Rd, Lutz, FL 33558-8005 | |
| (813) 443-7000 | |
| Not Available |
| Full Name | Garren Dial |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 4211 Van Dyke Rd, Lutz, 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 |
|---|---|---|---|
| 1548884364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Anesthesia Llc | 1153385612 | 39 |
| Entity Name | Bay Area Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134210040 PECOS PAC ID: 1153385612 Enrollment ID: O20041115000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Garren Dial, 22031 Hidden Oak Pl, Land O Lakes, FL 34639-4557 Ph: (813) 469-8301 | Garren Dial, 4211 Van Dyke Rd, Lutz, FL 33558-8005 Ph: (813) 443-7000 |
Trevor Peters, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Sena Moore, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Lennis Bejarano, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Kevin Scott, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Lauren Page Calcutti, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-7000 | |
Jeysi Alvarez, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Lutz, FL 33558 Phone: 813-526-6455 |