| Jorge Manuel Ballesteros, CRNA | |
|
3714 S Summerlin Ave, Orlando, FL 32806-6902 | |
| (812) 240-0977 | |
| Not Available |
| Full Name | Jorge Manuel Ballesteros |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 3714 S Summerlin Ave, Orlando, 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 |
|---|---|---|---|
| 1174550925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R56975 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greene County General Hospital | Linton, IN | Hospital |
| Southwest Medical Center | Liberal, KS | Hospital |
| Cameron Memorial Community Hospital Inc | Angola, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greene County General Hospital | 2961481544 | 98 |
| Fpra Anesthesia Services Llc | 0547554099 | 10 |
| Southwest Medical Center | 7517941651 | 60 |
| Cameron Memorial Community Hospital Inc | 9234020835 | 87 |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Entity Name | Cameron Memorial Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521478 PECOS PAC ID: 9234020835 Enrollment ID: O20040323001008 |
| Entity Name | Greene County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184695389 PECOS PAC ID: 2961481544 Enrollment ID: O20040716000806 |
| Entity Name | Terre Haute Surgical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120344 PECOS PAC ID: 9739272741 Enrollment ID: O20130515000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Manuel Ballesteros, CRNA 3714 S Summerlin Ave, Orlando, FL 32806-6902 Ph: (812) 240-0977 | Jorge Manuel Ballesteros, CRNA 3714 S Summerlin Ave, Orlando, FL 32806-6902 Ph: (812) 240-0977 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 | |
Yvonne Fulbright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 |