| George T Derefaka, CRNA | |
|
3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309-3300 | |
| (954) 703-2931 | |
| (954) 585-0297 |
| Full Name | George T Derefaka |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3601 W Commercial Blvd, Ft Lauderdale, 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 |
|---|---|---|---|
| 1386074474 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Celebrity Anesthesia Pllc | 8325467608 | 23 |
| Smg Anesthesia Specialists Llc | 6305081118 | 501 |
| Austin Anesthesiology Group Pllc | 0547256497 | 430 |
| Entity Name | Austin Anesthesiology Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Celebrity Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679193197 PECOS PAC ID: 8325467608 Enrollment ID: O20201006002351 |
| Mailing Address | Practice Location Address |
|---|---|
| George T Derefaka, CRNA 3601 W Commercial Blvd Ste 5, Ft Lauderdale, FL 33309-3392 Ph: (954) 703-2931 | George T Derefaka, CRNA 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309-3300 Ph: (954) 703-2931 |
Peter W Cross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1126 S Federal Hwy, #149, Ft Lauderdale, FL 33316 Phone: 808-292-5636 |
Greta E. Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Ft Lauderdale, FL 33309 Phone: 954-703-2931 |
Victoria M Tramazzo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6401 North Federal Highway, Imperial Point Med Center, Ft Lauderdale, FL 33308 Phone: 954-776-8500 |
Jacklyn Gramer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |
Susan L. Kotoff, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |
Steve Khavandegaran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-703-2931 Fax: 954-585-9207 |
Mario Rosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |