| Kelly Merrill Selby, CRNA | |
|
1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254 | |
| (352) 273-8610 | |
| Not Available |
| Full Name | Kelly Merrill Selby |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326585720 | NPI | - | NPPES |
| 019871000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9451513 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9451513 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Space Coast Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942441753 PECOS PAC ID: 5496805426 Enrollment ID: O20090611000695 |
| Entity Name | Orange City Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Merrill Selby, CRNA 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610 | Kelly Merrill Selby, CRNA 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
J'woin Maalik Harrison, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-7906 | |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 |