| Mr Matt Moraes, AA | |
|
410 S 11th St, Lake Wales, FL 33853-4203 | |
| (863) 679-6814 | |
| (863) 679-6859 |
| Full Name | Mr Matt Moraes |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 13 Years |
| Location | 410 S 11th St, Lake Wales, 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 |
|---|---|---|---|
| 1003238684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA212 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Hospital | Weston, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Miami Anesthesia Services Llc | 1355651837 | 124 |
| Cleveland Clinic Florida (a Nonprofit Corporation) | 7911807128 | 652 |
| 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 | Cleveland Clinic Florida (a Nonprofit Corporation) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
| 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 |
| Entity Name | Miami Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821475179 PECOS PAC ID: 1355651837 Enrollment ID: O20151112002797 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matt Moraes, AA 6750 Nw 45th Way, Coconut Creek, FL 33073-1927 Ph: (305) 409-3221 | Mr Matt Moraes, AA 410 S 11th St, Lake Wales, FL 33853-4203 Ph: (863) 679-6814 |
Wenjun Wang Martin, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-402-0064 | |
Prabin Thakuri, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 |