| Shelby Waugh, | |
|
2020 59th St W, Bradenton, FL 34209-4604 | |
| (941) 792-6611 | |
| Not Available |
| Full Name | Shelby Waugh |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 2020 59th St W, Bradenton, 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 |
|---|---|---|---|
| 1235882002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9385535 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11019684 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blake Medical Center | Bradenton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Anesthesia Solutions Of Florida Ii, Llc | 7911323720 | 212 |
| Entity Name | Premier Anesthesia Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790330694 PECOS PAC ID: 4385975556 Enrollment ID: O20191021000304 |
| Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Waugh, 2588 17th Ave N, Saint Petersburg, FL 33713-4926 Ph: (727) 475-0748 | Shelby Waugh, 2020 59th St W, Bradenton, FL 34209-4604 Ph: (941) 792-6611 |
Carly Provan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8000 State Road 64 E, Bradenton, FL 34212 Phone: 941-792-1404 | |
Laura Ann Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, Ste 5600, Bradenton, FL 34209 Phone: 941-798-3524 | |
Cynthia Chandler Gibson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7118 Hawks Harbor Cir, Bradenton, FL 34207 Phone: 941-350-2039 | |
Mr. Steven Stanley Walther, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209 Phone: 941-792-1404 Fax: 941-761-0712 | |
Anthony Eleuterio Marchiano, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6640 Anchor Loop, Apt 108, Bradenton, FL 34212 Phone: 941-567-6926 Fax: 941-567-6926 | |
Chasity Kentros, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, #4650, Bradenton, FL 34209 Phone: 941-798-3524 | |
Kasey Allen Spivey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-524-9113 |