| Jennifer Brubaker, | |
|
501 6th Ave S, St Petersburg, FL 33701-4634 | |
| (727) 767-3583 | |
| Not Available |
| Full Name | Jennifer Brubaker |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 501 6th Ave S, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417314113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9256406 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9256406 (Florida) | Primary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Pediatric Physician Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
| Entity Name | Tampa Bay Hand Center, P.a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134250384 PECOS PAC ID: 7416015052 Enrollment ID: O20081025000043 |
| Entity Name | Sunbelt Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205172079 PECOS PAC ID: 9436392438 Enrollment ID: O20130823000172 |
| 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 | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brubaker, 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-3583 | Jennifer Brubaker, 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-3583 |
Jeanne Hardin-gres, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
Katherine Lisa Khokhar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-828-3218 Fax: 727-828-0723 | |
Ms. Gloria Jr Fain, CBC CNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 Asturia Way South, St Petersburg, FL 33705 Phone: 727-866-7403 Fax: 727-866-9495 | |
William Quatman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3637 4th St N, Suite 400, St Petersburg, FL 33704 Phone: 727-823-1234 | |
Alexa Blake Hartnett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 321-841-2335 | |
Erik Scott Rauch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-823-9502 | |
Candice Queen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 |