| Michael Petri, CRNA | |
|
200 Se Hospital Ave, Anesthesia Department, Stuart, FL 34994-2346 | |
| (772) 286-0338 | |
| Not Available |
| Full Name | Michael Petri |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Se Hospital Ave, Stuart, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629078878 | NPI | - | NPPES |
| G4381 | Other | FL | FLORIDA BCBS |
| 308745000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 285765 (New York) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 9263613 (Florida) | Secondary |
| 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 | Jupiter Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
| Entity Name | Bethesda Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801054473 PECOS PAC ID: 3971670795 Enrollment ID: O20080920000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Petri, CRNA 421 Se Osceola St # 3, Po Box 868, Stuart, FL 34994-2505 Ph: (772) 286-0338 | Michael Petri, CRNA 200 Se Hospital Ave, Anesthesia Department, Stuart, FL 34994-2346 Ph: (772) 286-0338 |
Robert C Layland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 421 Se Osceola St, Ste 3, Stuart, FL 34994 Phone: 772-286-0338 Fax: 772-287-1139 | |
Elaine Desman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 Se Osceola St, Stuart, FL 34994 Phone: 772-286-0338 Fax: 772-287-1139 | |
Kenneth Menzel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 421 Se Osceola St, Stuart, FL 34994 Phone: 772-286-0338 Fax: 772-287-1139 | |
Andrea Six, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Se Riverside Dr Ste 100, Stuart, FL 34994 Phone: 772-223-5920 | |
Mrs. Christina Marie Palmeri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Se Riverside Dr, Stuart, FL 34994 Phone: 877-463-2010 | |
Alton Dunlap Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5995 Fax: 772-223-5944 | |
Mr. Sean C Mulcahy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 800-237-6723 Fax: 866-665-2702 |