| Michael Kyle Ely, | |
|
1350 Hickory St, Melbourne, FL 32901-3224 | |
| (321) 434-7000 | |
| Not Available |
| Full Name | Michael Kyle Ely |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 1350 Hickory St, Melbourne, 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 |
|---|---|---|---|
| 1578309563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kyle Ely, 7846 Minutemen Loop, Winter Garden, FL 34787-5153 Ph: (407) 592-6222 | Michael Kyle Ely, 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7000 |
Jolene Keiko Goranovic, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 | |
Mr. Blake Anderson, BS, MS, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 Fax: 321-837-3654 | |
Gregory Michael Hendershot, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 Fax: 321-837-3654 | |
Andrew Sykes Curren, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Devin Wunder, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 Hickory St Fl 32901, Melbourne, FL 32901 Phone: 321-434-7000 | |
Mr. Michael Patrick Grenon Iii, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 South Hickory St, Melbourne, FL 32901 Phone: 321-434-7145 Fax: 321-434-1656 | |
Denesh Bhoodai, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2627 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935 Phone: 321-837-3820 Fax: 855-819-6516 |