Advanced Surgery Center of Tallahassee, LLC
A Medicare group practice based in Tallahassee, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305354275), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6305354275
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20250801002904 | FL | Part B Supplier - Ambulatory Surgical Center | 1205658754 |
| O20260302002615 | FL | Part B Supplier - Clinic/Group Practice | 1578415691 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Advanced Surgery Center of Tallahassee, LLC
- Ambulatory Surgical Clinic/Center
- Tallahassee, FL
- NPI 1205658754
-
Advanced Surgery Center of Tallahassee, LLC
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1578415691
Practice locations
- Tallahassee, FL2
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (9).
-
Lauren Aukeman
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1356743579
-
Patrice Talley Bidwell, MD
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1164494316
-
Jeanna L. Davenport, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1962470591
-
Leo Christopher Derosier, MD
- Surgery Physician
- Tallahassee, FL
- NPI 1043425309
-
Nicholas Craig Farber, M.D.
- Ophthalmology Physician
- Tallahassee, FL
- NPI 1265708127
-
Richard Gutierrez, CRNA
- Certified Registered Nurse Anesthetist
- Tarpon Springs, FL
- NPI 1740416056
-
Jeremy Andrew Jones, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1730458324
-
Ashley Wald Lafferty, CRNA
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1003165002
-
Katie N Lyons, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1275965907
-
Amanda Ethredge Matthews, M.D.
- Ophthalmology Physician
- Tallahassee, FL
- NPI 1982866638
-
Ivy Lee Merriman, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1649754375
-
Lauren N Phillips, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1386983484
-
Caroline Revell
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1487166930
-
Laurence Zalmon Rosenberg, M.D.
- Plastic Surgery Physician
- Tallahassee, FL
- NPI 1467494526
-
Mary M Thorsson, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1255353132
-
Lisa L. Umana, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
- NPI 1184650483
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.