| Jeremy Booms, CRNA | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (386) 425-4000 | |
| Not Available |
| Full Name | Jeremy Booms |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| 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 |
|---|---|---|---|
| 1497391130 | NPI | - | NPPES |
| 125285600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11035503 (Florida) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704297754 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 860 |
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 1100 |
| Anesthesiologists Of Greater Orlando Inc | 7416928536 | 339 |
| 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 | Anesthesiologists Of Greater Orlando Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Booms, CRNA 303 E Kearsley St, Flint, MI 48502-1907 Ph: (810) 762-3147 | Jeremy Booms, CRNA 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 425-4000 |
Mr. J Patrick Kerr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 | |
Stacey L. Flanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3147 Fax: 386-231-3695 | |
Nicholas William Metakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Mrs. Rosa Zamiris Perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3518 | |
William Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 352-733-0485 | |
Victoria Lynn Carr, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-4519 | |
Clayton T Saxour, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 |