| Mr Raymond Carl Trussell Jr, SRNA | |
|
421 N 21st Ave, Hollywood, FL 33020-4013 | |
| (305) 899-4722 | |
| Not Available |
| Full Name | Mr Raymond Carl Trussell Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 421 N 21st Ave, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083297261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11040823 (Florida) | Primary |
| Entity Name | Usa Health Anesthesia Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Raymond Carl Trussell Jr, SRNA 26643 Dean Ct S, Daphne, AL 36526-8906 Ph: (334) 740-1683 | Mr Raymond Carl Trussell Jr, SRNA 421 N 21st Ave, Hollywood, FL 33020-4013 Ph: (305) 899-4722 |
Joseph Benson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Karel J Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-838-2371 | |
Miss Ashley Heather Cevallos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Ruby J Allman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5521 Polk St, Hollywood, FL 33021 Phone: 954-961-7334 | |
Sandra Mercedes Amoretti, DNP, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3475 Sheridan St Ste 104, Hollywood, FL 33021 Phone: 888-503-0061 | |
Suzanne M Hale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 |