| Justin M Mullaney, DNP | |
|
13695 Us Highway 1, Sebastian, FL 32958-3230 | |
| (716) 603-8140 | |
| Not Available |
| Full Name | Justin M Mullaney |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 13695 Us Highway 1, Sebastian, 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 |
|---|---|---|---|
| 1295223022 | NPI | - | NPPES |
| 119959900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 667991 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11007281 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Anesthesiology Physicians Of Florida Inc. | 2860813011 | 11 |
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Vero Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417242405 PECOS PAC ID: 0648443010 Enrollment ID: O20111031000239 |
| Entity Name | Live Oak Endoscopy Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1548254402 PECOS PAC ID: 8921158320 Enrollment ID: O20120213000416 |
| Entity Name | Steward Anesthesiology Physicians Of Florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336786029 PECOS PAC ID: 2860813011 Enrollment ID: O20200527000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin M Mullaney, DNP 13695 Us Highway 1, Sebastian, FL 32958-3230 Ph: (716) 603-8140 | Justin M Mullaney, DNP 13695 Us Highway 1, Sebastian, FL 32958-3230 Ph: (716) 603-8140 |
Melissa Wolsley Paterson, MS, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 407-712-8131 Fax: 321-843-2196 | |
Tiffany Anne Vaughn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 716-603-8140 | |
Rebecca S Osmianski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 772-581-2032 | |
Karen R Manley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 772-581-2032 | |
Ashley Casey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13695 Us Highway 1, Sebastian, FL 32958 Phone: 716-603-8140 | |
Mr. James A Wolcott, CRNA ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1511 Us Highway 1, Suite 104, Sebastian, FL 32958 Phone: 772-388-3344 Fax: 772-388-4002 |