| Phillip Bodner, CRNA | |
|
660 Nw 155th Ter, Pembroke Pines, FL 33028-1505 | |
| (954) 681-3998 | |
| Not Available |
| Full Name | Phillip Bodner |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 660 Nw 155th Ter, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932855285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 243999 (Arizona) | Primary |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Bodner, CRNA 660 Nw 155th Ter, Pembroke Pines, FL 33028-1505 Ph: (954) 681-3998 | Phillip Bodner, CRNA 660 Nw 155th Ter, Pembroke Pines, FL 33028-1505 Ph: (954) 681-3998 |
Andria Edwards-fagon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Sw 111th Ave, Pembroke Pines, FL 33025 Phone: 954-326-1697 Fax: 954-326-1697 | |
Ms. Tammie Lee Rohal, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1110 Sw 152nd Ter, Pembroke Pines, FL 33027 Phone: 954-450-2127 Fax: 954-450-0124 | |
Mrs. Malby Maria Davila, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11612 Sw 13th Ln, Pembroke Pines, FL 33025 Phone: 954-995-1343 | |
Kristen L. Herrera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N. Flamingo Road, Pembroke Pines, FL 33028 Phone: 954-838-2371 | |
Ms. Ellen Rey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 Sw 152nd Ter, Pembroke Pines, FL 33027 Phone: 954-450-2127 Fax: 954-450-0124 | |
Lizzette Triana Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7800 Sheridan Street, Pembroke Pines, FL 33024 Phone: 954-962-9650 | |
Katie Brennan Grey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-436-5000 |