| Kelly P Thompson, CRNA | |
|
11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| (352) 592-2121 | |
| (352) 597-6078 |
| Full Name | Kelly P Thompson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 11375 Cortez Blvd, Brooksville, 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 |
|---|---|---|---|
| 1487789954 | NPI | - | NPPES |
| 003404100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN1954032 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Anesthesiologist Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306889910 PECOS PAC ID: 8921910027 Enrollment ID: O20031105000469 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
| 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 | 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 | Jax Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Entity Name | Villages Regional Hospital Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly P Thompson, CRNA 5395 Firethorn Pt, Spring Hill, FL 34609-9511 Ph: (352) 597-6082 | Kelly P Thompson, CRNA 11375 Cortez Blvd, Brooksville, FL 34613-5409 Ph: (352) 592-2121 |
Nicole Marie Dibella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Gail Shue, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797 | |
Arnold Szabo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Tashona P. Wilks, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 | |
Rodney Holcomb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-544-7112 Fax: 352-688-7224 | |
Mrs. Lorna Marie Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 Fax: 352-688-7224 | |
Scott Lamar Babcock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797 |