| Robert Lance Pennington, CRNA | |
|
4 Ocean View Dr, Gulf Breeze, FL 32561-2436 | |
| (850) 934-8157 | |
| Not Available |
| Full Name | Robert Lance Pennington |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 4 Ocean View Dr, Gulf Breeze, 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 |
|---|---|---|---|
| 1568464089 | NPI | - | NPPES |
| P00164745 | Other | FL | RAILROAD MEDICARE |
| 306094200 | Medicaid | FL | |
| 009945425 | Medicaid | AL | |
| 59168859 | Other | AL | BLUE CROSS & BLUE SHIELD |
| G3419 | Other | FL | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9210408 (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 | Gastroenterology Associates Of Pensacola Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235223785 PECOS PAC ID: 2365422664 Enrollment ID: O20040726000423 |
| 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 |
| Entity Name | Florida Gulf Coast Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013522325 PECOS PAC ID: 8224458518 Enrollment ID: O20201027001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Lance Pennington, CRNA 4 Ocean View Dr, Gulf Breeze, FL 32561-8965 Ph: (850) 477-7042 | Robert Lance Pennington, CRNA 4 Ocean View Dr, Gulf Breeze, FL 32561-2436 Ph: (850) 934-8157 |
Mellissa Dianne Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Ocean View Dr, Gulf Breeze, FL 32561 Phone: 850-934-8157 | |
Dale L. Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-916-8700 | |
Mrs. Amanda Zbaren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Suite 100, Gulf Breeze, FL 32561 Phone: 850-916-8500 | |
Ms. Jill Anne Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Autumn Breeze Cir, Gulf Breeze, FL 32563 Phone: 850-288-1998 | |
Jennifer Bryant Gronert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2593 Mary Fox Dr, Gulf Breeze, FL 32563 Phone: 850-207-6824 | |
Thomas W Huff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-469-2044 Fax: 850-434-4683 |