| William Self, | |
|
495 S Nova Rd Ste 101a, Ormond Beach, FL 32174-8444 | |
| (386) 487-4673 | |
| Not Available |
| Full Name | William Self |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 495 S Nova Rd Ste 101a, Ormond Beach, 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 |
|---|---|---|---|
| 1245503093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9257951 (ZZ) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9257951 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Claire Regional Medical Center | Morehead, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| St. Claire Medical Center Inc | 4486559085 | 148 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| 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 | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Mailing Address | Practice Location Address |
|---|---|
| William Self, 1329 Sw 16th St Rm 2232, Gainesville, FL 32608-1128 Ph: (352) 733-0485 | William Self, 495 S Nova Rd Ste 101a, Ormond Beach, FL 32174-8444 Ph: (386) 487-4673 |
Evelyn V Santiago Gonzalez, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Phone: 386-274-2977 Fax: 386-274-2997 | |
Anthony Otero Falero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Sterthaus Dr, Ormond Beach, FL 32174 Phone: 787-553-0831 | |
Virginia G Franks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Circle Creek Way, Ormond Beach, FL 32174 Phone: 913-961-0415 | |
Colette Suzanne Ellis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Phone: 386-274-2977 Fax: 386-274-2997 | |
Ann B Hendrix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 Hand Ave Ste A1, Ormond Beach, FL 32174 Phone: 386-274-2977 Fax: 386-274-2997 | |
Gayle E Perry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3766 Roscommon Dr, Pmb 190, Ormond Beach, FL 32174 Phone: 407-782-2474 |