| Kelly Donatelli, CRNA | |
|
3949 Evans Ave, Ste 102, Fort Myers, FL 33901-9335 | |
| (239) 939-2622 | |
| (239) 939-0151 |
| Full Name | Kelly Donatelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3949 Evans Ave, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437123486 | NPI | - | NPPES |
| RAILROAD MEDICARE | Other | FL | P00277773 |
| BLUE CROSS | Other | FL | G3949 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9237289 (Florida) | Primary |
| Entity Name | Gastroenterology Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831171974 PECOS PAC ID: 5991604860 Enrollment ID: O20060912000339 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Entity Name | Optimum Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851656854 PECOS PAC ID: 9638326432 Enrollment ID: O20120830000216 |
| Entity Name | Wooster Pain And Anesthesia Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616947 PECOS PAC ID: 1557500782 Enrollment ID: O20130620000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Donatelli, CRNA 3209 Antica St, Fort Myers, FL 33905-1503 Ph: (239) 939-2622 | Kelly Donatelli, CRNA 3949 Evans Ave, Ste 102, Fort Myers, FL 33901-9335 Ph: (239) 939-2622 |
Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432 | |
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622 | |
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569 | |
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 | |
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Adrianne N Noboa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12511 World Plaza Ln, Building 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151 |