| Jedidiah Polete, CRNA | |
|
129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 | |
| (702) 564-4440 | |
| (702) 558-1522 |
| Full Name | Jedidiah Polete |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 129 W Lake Mead Pkwy, Henderson, Nevada |
| 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 |
|---|---|---|---|
| 1336560028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP09081 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| 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 | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Amsurg Citrus Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255774212 PECOS PAC ID: 9436399854 Enrollment ID: O20130709000205 |
| Entity Name | Amsurg Melbourne Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477958189 PECOS PAC ID: 3274858618 Enrollment ID: O20150206000921 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Entity Name | Anesthesia Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
| Entity Name | Apollo Medical Group Of Ocala Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477326908 PECOS PAC ID: 3678922820 Enrollment ID: O20231213000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Jedidiah Polete, CRNA 1444 Peterman Dr, Suite B18, Alexandria, LA 71301-3432 Ph: (702) 564-4440 | Jedidiah Polete, CRNA 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 Ph: (702) 564-4440 |
Marwell Viloria, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1050 W Galleria Dr, Henderson, NV 89011 Phone: 702-963-7000 | |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 | |
Mr. Michael Douglas Dixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015 Phone: 702-564-4440 |