| Mr Ivan Nunez, AA | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-6438 | |
| (352) 273-8612 |
| Full Name | Mr Ivan Nunez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 1600 Sw Archer Rd, Gainesville, 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 |
|---|---|---|---|
| 1407656812 | NPI | - | NPPES |
| 129732200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2025025701 (Missouri) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA1179 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Uf Health Shands Hospital | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1886 |
| Western Anesthesiology Associates Inc | 6204720667 | 251 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Nunez, AA 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224 | Mr Ivan Nunez, AA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-6438 |
Mr. Michael Mak, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 954-290-9882 |
Jalen Frett, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0301 |
Michael John Provost, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 |
Eric Crabtree, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6575 |
John Howes, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610 Phone: 352-273-8610 |
Madison Abby Johnstone, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 |
Vineet Reddy, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 |