| Misty C Allen, CRNA | |
|
2862 W Main St, Leesburg, FL 34748-4631 | |
| (352) 326-4014 | |
| Not Available |
| Full Name | Misty C Allen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 2862 W Main St, Leesburg, 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 |
|---|---|---|---|
| 1306872387 | NPI | - | NPPES |
| G4193 | Other | FL | BLUE SHIELD |
| 51511554 | Other | AL | BCBS |
| 06234720 | Medicaid | MS | |
| 430076327 | Other | PALMETTO GBA-RR MEDICARE | |
| 051552673 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-047642 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion Communtiy Hospital | Ocala, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 849 |
| 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 | Mills Ave Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861777971 PECOS PAC ID: 5395025662 Enrollment ID: O20161201001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty C Allen, CRNA Po Box 490210, Leesburg, FL 34749-0210 Ph: (352) 326-4014 | Misty C Allen, CRNA 2862 W Main St, Leesburg, FL 34748-4631 Ph: (352) 326-4014 |
Victoria Catherine Greenwell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Mr. Michael I Felton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-433-2825 Fax: 352-433-2893 | |
Brenda K. Moody, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8110 County Road 44 Leg A, Leesburg, FL 34788 Phone: 352-323-8868 Fax: 352-323-8865 | |
Iesha Lorraine Zilcosky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Daniel J Reimschiissel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 801-369-7035 | |
Mrs. Teresa Ann Fowler-plotkin, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 407-468-0065 Fax: 866-339-1813 | |
Samuella Ferrari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 |