| Tracy Mae Directo, | |
|
800 Prudential Dr, Jacksonville, FL 32207-8202 | |
| (904) 202-2000 | |
| Not Available |
| Full Name | Tracy Mae Directo |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 800 Prudential Dr, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518473024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9287412 (Florida) | Primary |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Riverside Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134478209 PECOS PAC ID: 4688824600 Enrollment ID: O20121026000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Mae Directo, 2748 Wood Stork Trl, Orange Park, FL 32073-1667 Ph: (904) 553-9287 | Tracy Mae Directo, 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: (904) 202-2000 |
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855 | |
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111 | |
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300 | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220 |