| Mr Nicholas M Kalynych, CRNA | |
| 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081-0611 | |
| (904) 412-2593 | |
| (904) 686-1817 | 
| Full Name | Mr Nicholas M Kalynych | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 690 Majestic Eagle Dr, Ponte Vedra, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003884347 | NPI | - | NPPES | 
| 3034364-00 | Medicaid | FL | |
| 000892009A | Medicaid | GA | |
| G20357 | Other | FL | BLUE CROSS / BLUE SHIELD NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3014012 (Florida) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 3014012 (Florida) | Primary | 
| Entity Name | Baker County Medical Services, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104926401 PECOS PAC ID: 6103710264 Enrollment ID: O20040210000578 | 
| Entity Name | Fleming Island Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 | 
| Entity Name | Amelia Anesthesia Pl | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508103540 PECOS PAC ID: 9436394673 Enrollment ID: O20130318000401 | 
| Entity Name | Sunbelt Anesthesia Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205172079 PECOS PAC ID: 9436392438 Enrollment ID: O20130823000172 | 
| Entity Name | Florida Pain Relief Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 | 
| 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 | 
| Entity Name | Altitude Health Corp I Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831970029 PECOS PAC ID: 4587004395 Enrollment ID: O20240426002164 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Nicholas M Kalynych, CRNA 690 Majestic Eagle Dr, Sunbelt Anesthesia Services,llc, Ponte Vedra, FL 32081-0611 Ph: (904) 412-2593 | Mr Nicholas M Kalynych, CRNA 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081-0611 Ph: (904) 412-2593 | 
| Patrick Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 204 Potters Mill Trl, Ponte Vedra, FL 32081 Phone: 516-779-0913 | |
| Luana Purdy,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 158 Gray Wolf Trl, Ponte Vedra, FL 32081 Phone: 954-232-8816 | |
| Kyle Steven Scott,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 26 Valley Grove Dr, Ponte Vedra, FL 32081 Phone: 904-903-0195 |