| Hailey Faith Bourdon, | |
|
2965 Knox Mcrae Dr, Titusville, FL 32780-5179 | |
| (814) 282-3439 | |
| Not Available |
| Full Name | Hailey Faith Bourdon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 2965 Knox Mcrae Dr, Titusville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053073767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9465714 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11019725 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Medical Center | Titusville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overwatch Anesthesia | 3678949146 | 51 |
| Parrish Anesthesia Specialist, Llc | 8921289943 | 29 |
| Entity Name | Space Coast Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942441753 PECOS PAC ID: 5496805426 Enrollment ID: O20090611000695 |
| Entity Name | Parrish Anesthesia Specialist, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780997023 PECOS PAC ID: 8921289943 Enrollment ID: O20110224000281 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | Overwatch Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20230404001489 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey Faith Bourdon, 2965 Knox Mcrae Dr, Titusville, FL 32780-5179 Ph: (814) 282-3439 | Hailey Faith Bourdon, 2965 Knox Mcrae Dr, Titusville, FL 32780-5179 Ph: (814) 282-3439 |
Mr. Darryl Lee Trundle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
Nicholas Hamor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
Sherry Duskie Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 |