| Rosa Memmel, | |
|
301 N Alexander St, Plant City, FL 33563-4303 | |
| (352) 867-8898 | |
| (352) 732-6282 |
| Full Name | Rosa Memmel |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 301 N Alexander St, Plant City, 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 |
|---|---|---|---|
| 1780778076 | NPI | - | NPPES |
| G2661 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP670572 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Florida Baptist Hospital | Plant city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lockwood And Steely, Md's, Pa | 9830090885 | 18 |
| Entity Name | Lockwood & Steely, Md's, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972697266 PECOS PAC ID: 9830090885 Enrollment ID: O20040114000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosa Memmel, 301 N Alexander St, Plant City, FL 33563-4303 Ph: (352) 867-8898 | Rosa Memmel, 301 N Alexander St, Plant City, FL 33563-4303 Ph: (352) 867-8898 |
Donald Christ, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 352-867-8898 Fax: 352-732-6282 | |
Diana Weston Rudd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 813-870-4015 Fax: 813-605-6269 | |
Geraldine Secor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 N Alexander St, Plant City, FL 33563 Phone: 352-867-8898 Fax: 352-732-6282 |