| Justin Thomas Puthusseril, CAA | |
|
2776 Cleveland Ave, Fort Myers, FL 33901-5864 | |
| (239) 343-2000 | |
| Not Available |
| Full Name | Justin Thomas Puthusseril |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 2776 Cleveland Ave, Fort Myers, 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 |
|---|---|---|---|
| 1821671751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA676 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| 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 | 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 | 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 | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Thomas Puthusseril, CAA 6155 42nd Street Cir E, Bradenton, FL 34203-7012 Ph: (941) 447-7806 | Justin Thomas Puthusseril, CAA 2776 Cleveland Ave, Fort Myers, FL 33901-5864 Ph: (239) 343-2000 |
Felicia Nicole Reeves, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 954-759-1985 | |
Morgan Victoria Gloster Osinga, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Katelyn Van De Water, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Bruna Gomes Marciante, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 407-667-0444 | |
Steven Zombory, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2776 Cleveland Ave, Fort Myers, FL 33901 Phone: 239-343-2000 | |
Vanessa Ordonez, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Benjamin Howard Lippitt, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5000 |