| Fred Williams, CRNA | |
|
4500 13th St, Gulfport, MS 39501-2515 | |
| (228) 818-0563 | |
| (228) 818-0519 |
| Full Name | Fred Williams |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 4500 13th St, Gulfport, Mississippi |
| 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 |
|---|---|---|---|
| 1316016421 | NPI | - | NPPES |
| 00119340 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R717916 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etas Pllc | 8123481934 | 39 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Coastal Anesthesia Service Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255971016 PECOS PAC ID: 2062849763 Enrollment ID: O20200218002746 |
| Entity Name | Etas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679259360 PECOS PAC ID: 8123481934 Enrollment ID: O20230828000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Williams, CRNA 22 Doctors Dr, Suite C, Ocean Springs, MS 39564 Ph: (228) 818-0563 | Fred Williams, CRNA 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 818-0563 |
Stanley Turner, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Davis Hutto, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Matthew Blanchard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd Ste B, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-546-3257 | |
Joshua Dibble, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-575-7290 Fax: 228-831-8766 | |
Juanita Derouen, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Mr. Marc L Simpkins, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Dr. John C Briggs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |