| Jason M Balt, CRNA | |
|
4048 Evans Ave, Ste 303, Fort Myers, FL 33901-9322 | |
| (239) 332-5344 | |
| (239) 332-7246 |
| Full Name | Jason M Balt |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4048 Evans Ave, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487945978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9280930 (Florida) | Primary |
| Entity Name | Orlando Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184661696 PECOS PAC ID: 6204729056 Enrollment ID: O20040205000237 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Balt, CRNA 4048 Evans Ave, Ste 303, Fort Myers, FL 33901-9322 Ph: (239) 332-5344 | Jason M Balt, CRNA 4048 Evans Ave, Ste 303, Fort Myers, FL 33901-9322 Ph: (239) 332-5344 |
Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432 | |
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622 | |
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569 | |
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 | |
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Adrianne N Noboa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12511 World Plaza Ln, Building 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 |