| Nit Khamvongs, CRNA | |
|
3500 Us Highway 1, Vero Beach, FL 32960-4511 | |
| (772) 299-1404 | |
| (772) 299-1455 |
| Full Name | Nit Khamvongs |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 3500 Us Highway 1, Vero Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316038532 | NPI | - | NPPES |
| 307376900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9232218 (Florida) | Primary |
| 363L00000X | Nurse Practitioner | 9232218 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Treasure Coast Anesthesia Group Pa | 2567600588 | 94 |
| Port St Lucie Anesthesia Llc | 2769743343 | 4 |
| 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 | William J. Mallon, Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649353582 PECOS PAC ID: 9234039116 Enrollment ID: O20040109000102 |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Entity Name | Treasure Coast Anesthesia Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013350875 PECOS PAC ID: 2567600588 Enrollment ID: O20130604000335 |
| Entity Name | Amsurg Citrus Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255774212 PECOS PAC ID: 9436399854 Enrollment ID: O20130709000205 |
| Entity Name | Port St Lucie Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215441134 PECOS PAC ID: 2769743343 Enrollment ID: O20180222000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Nit Khamvongs, CRNA 3500 Us Highway 1, Vero Beach, FL 32960-4511 Ph: (772) 299-1404 | Nit Khamvongs, CRNA 3500 Us Highway 1, Vero Beach, FL 32960-4511 Ph: (772) 299-1404 |
Dr. Gwendolynn Delores Randall, CRNA, PHD,APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-776-9621 Fax: 772-778-3494 | |
Mr. Numukunda Darboe, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Mr. David M Almasy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Ms. Rosemary Zara Ricci, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1875 Robalo Dr, Vero Beach, FL 32960 Phone: 310-210-4771 | |
Ashlee Antoinette Clark, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Sharon Clare Gahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic Indian River Hospital, 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |