| Marina Boulis Fam, | |
|
1500 Sw 1st Ave, Ocala, FL 34471-6504 | |
| (352) 351-7200 | |
| Not Available |
| Full Name | Marina Boulis Fam |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1500 Sw 1st Ave, Ocala, 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 |
|---|---|---|---|
| 1396445904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11039307 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Ocala | Ocala, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 956 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Solace Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962046151 PECOS PAC ID: 3072945476 Enrollment ID: O20191122000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Boulis Fam, 1500 Sw 1st Ave, Ocala, FL 34471-6516 Ph: (484) 550-5736 | Marina Boulis Fam, 1500 Sw 1st Ave, Ocala, FL 34471-6504 Ph: (352) 351-7200 |
Steven Joseph Fowler, CRNA,MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3241 Sw 34th St, Ocala, FL 34474 Phone: 352-237-5906 Fax: 352-237-8758 |
Catherine Lenore Wohletz Hicks, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471 Phone: 352-351-7200 |
Christopher L. Hazen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1511 Sw 1st Ave, Ocala, FL 34474 Phone: 352-867-0516 Fax: 352-867-5076 |
Matthew Carnevale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3309 Sw 34th Cir, Ste 101, Ocala, FL 34474 Phone: 352-237-0509 |
Amanda K Waters, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3309 Sw 34th Cir, Suite 101, Ocala, FL 34474 Phone: 352-237-0509 Fax: 352-237-9808 |
Claudio Andres Medero Torres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1000 |
Joshua Cliff Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3330 Sw 33rd Rd, Ocala, FL 34474 Phone: 352-873-9311 Fax: 352-873-9652 |