| Mr Bradley Kenneth Heffelfinger, CRNA | |
|
18716 Holly Pine Trl, Lithia, FL 33547-1767 | |
| (815) 383-0537 | |
| Not Available |
| Full Name | Mr Bradley Kenneth Heffelfinger |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 18716 Holly Pine Trl, Lithia, 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 |
|---|---|---|---|
| 1841882743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11011381 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Horizon Medical Center | Dickson, TN | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 439 |
| T J Samson Community Hospital | 0648182600 | 197 |
| Entity Name | Anesthesia Medical Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Entity Name | Covenant Anesthesia Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Kenneth Heffelfinger, CRNA 18716 Holly Pine Trl, Lithia, FL 33547-1767 Ph: (815) 383-0537 | Mr Bradley Kenneth Heffelfinger, CRNA 18716 Holly Pine Trl, Lithia, FL 33547-1767 Ph: (815) 383-0537 |
Taylor Reid Jordan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17890 Boyette Rd, Lithia, FL 33547 Phone: 813-309-6702 |
Mrs. Cynthia L Odom-brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Jaegerglen Dr, Suite 1, Lithia, FL 33547 Phone: 813-315-9258 |