| Michael Macchiarella, CRNA | |
|
4048 Evans Ave, Suite 303, Ft Myers, FL 33901-9322 | |
| (239) 332-5344 | |
| (239) 332-7246 |
| Full Name | Michael Macchiarella |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4048 Evans Ave, Ft Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053302414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9198195 (Florida) | Primary |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Macchiarella, CRNA 4048 Evans Ave, Suite 303, Ft Myers, FL 33901-9322 Ph: (239) 332-5344 | Michael Macchiarella, CRNA 4048 Evans Ave, Suite 303, Ft Myers, FL 33901-9322 Ph: (239) 332-5344 |
Mr. Steven C Mims, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7152 Coca Sabal Ln, Golf Coast Endoscopy Ctr, Ft Myers, FL 33908 Phone: 239-985-0215 | |
Steve Dalton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Ft Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Sandra Rosado, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4048 Evans Ave, Ste 303, Ft Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
John Mathieu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Ft Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Joyce Dannemiller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 303, Ft Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 | |
Mary Canfield, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Ft Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246 |