| Michael T Gibbons, CRNA | |
|
421 Se Osceola St, Ste 3, Stuart, FL 34994-2505 | |
| (772) 286-0338 | |
| (772) 287-1139 |
| Full Name | Michael T Gibbons |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 421 Se Osceola St, Stuart, 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 |
|---|---|---|---|
| 1184693574 | NPI | - | NPPES |
| 146302 | Other | TN | NURSING LICENSE # |
| AQ780Z | Other | FL | FLORIDA MEDICARE |
| G4647 | Other | FL | BCBS OF FLORIDA |
| 0004722-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 146302 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP2948472 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beach Anesthesia, Llc | 6103924014 | 77 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Gibbons, CRNA Po Box 868, Stuart, FL 34995-0868 Ph: (772) 286-0338 | Michael T Gibbons, CRNA 421 Se Osceola St, Ste 3, Stuart, FL 34994-2505 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 |