| Kyle Steven Scott, | |
|
26 Valley Grove Dr, Ponte Vedra, FL 32081-6163 | |
| (904) 903-0195 | |
| Not Available |
| Full Name | Kyle Steven Scott |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 26 Valley Grove Dr, Ponte Vedra, 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 |
|---|---|---|---|
| 1609411586 | NPI | - | NPPES |
| 367500000X | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9336882 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11005725 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine State Anesthesia Partners Llc | 8123434792 | 426 |
| 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 | Anesthesia Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Entity Name | Florida Pain Relief Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
| 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 |
|---|---|
| Kyle Steven Scott, 26 Valley Grove Dr, Ponte Vedra, FL 32081-6163 Ph: () - | Kyle Steven Scott, 26 Valley Grove Dr, Ponte Vedra, FL 32081-6163 Ph: (904) 903-0195 |
Patrick Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 204 Potters Mill Trl, Ponte Vedra, FL 32081 Phone: 516-779-0913 | |
Luana Purdy, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 158 Gray Wolf Trl, Ponte Vedra, FL 32081 Phone: 954-232-8816 |