| Peter K Soutullo, CRNA | |
|
1000 W Moreno St, Pensacola, FL 32501-2316 | |
| (850) 437-8390 | |
| (850) 437-8394 |
| Full Name | Peter K Soutullo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 1000 W Moreno St, Pensacola, 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 |
|---|---|---|---|
| 1346291069 | NPI | - | NPPES |
| 59170283 | Other | AL | BCBS |
| P00134595 | Other | PALMETTO GBA-RR MEDICARE | |
| G0362 | Other | FL | BCBS |
| 59170285 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP1859232 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Breeze Hospital | Gulf breeze, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Of Gulf Breeze Llc | 9537326665 | 35 |
| Entity Name | Ams Baptist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093020216 PECOS PAC ID: 6901099688 Enrollment ID: O20101026001236 |
| Entity Name | Ams Of Gulf Breeze Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376812032 PECOS PAC ID: 9537326665 Enrollment ID: O20120201000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter K Soutullo, CRNA Po Box 10824, Birmingham, AL 35202-0824 Ph: (205) 322-1808 | Peter K Soutullo, CRNA 1000 W Moreno St, Pensacola, FL 32501-2316 Ph: (850) 437-8390 |
Katherine Kuehn, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-6098 Fax: 850-494-5150 | |
Kaitlyn Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-3212 | |
Brian Grady Watson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 228-257-5070 Fax: 850-494-5150 | |
Leslie Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Katherine B Bryan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8333 N Davis Hwy, Medical Center Clinic, Pensacola, FL 32514 Phone: 850-474-8319 Fax: 850-969-2958 | |
Mrs. Casey Hitt Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 | |
Darrah L Friedman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4901 Grande Dr, Pensacola, FL 32504 Phone: 850-477-7042 Fax: 850-474-9060 |