| Jennifer B Rutledge, CRNA | |
|
1000 36th St, Vero Beach, FL 32960-4862 | |
| (772) 778-9621 | |
| Not Available |
| Full Name | Jennifer B Rutledge |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 36th St, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629224761 | NPI | - | NPPES |
| 1506796 | Medicaid | TN | |
| APRN11036018 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000136033 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11036018 (Florida) | Primary |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer B Rutledge, CRNA 7150 Tanzanite Pl, Grant Valkaria, FL 32949-8278 Ph: (423) 946-4596 | Jennifer B Rutledge, CRNA 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 778-9621 |
Dr. Gwendolynn Delores Randall, CRNA, PHD,APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-776-9621 Fax: 772-778-3494 | |
Mr. Numukunda Darboe, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Nit Khamvongs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3500 Us Highway 1, Vero Beach, FL 32960 Phone: 772-299-1404 Fax: 772-299-1455 | |
Mr. David M Almasy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Ms. Rosemary Zara Ricci, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1875 Robalo Dr, Vero Beach, FL 32960 Phone: 310-210-4771 | |
Ashlee Antoinette Clark, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Sharon Clare Gahan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Cleveland Clinic Indian River Hospital, 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |