Casey L Humphries, CRNA | |
4800 E Johnson Ave, Jonesboro, AR 72405-8413 | |
(662) 377-4394 | |
(662) 377-7045 |
Full Name | Casey L Humphries |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 4800 E Johnson Ave, Jonesboro, Arkansas |
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 |
---|---|---|---|
1265458459 | NPI | - | NPPES |
01159742 | Medicaid | MS | |
009936767 | Other | AL | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | A810167 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C001250 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia V, P.a. | 8921359712 | 30 |
Entity Name | Jonesboro Surgery Center Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558641548 PECOS PAC ID: 0446532766 Enrollment ID: O20170419002188 |
Entity Name | Wake Up Satisfied Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093237182 PECOS PAC ID: 5395011795 Enrollment ID: O20171031001439 |
Entity Name | Oak Tree Anesthesia Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215448493 PECOS PAC ID: 3072889393 Enrollment ID: O20171031002634 |
Entity Name | Lifelinc Anesthesia V, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
Mailing Address | Practice Location Address |
---|---|
Casey L Humphries, CRNA 1009 Lake Crest Dr, Jonesboro, AR 72404-9564 Ph: (662) 255-4512 | Casey L Humphries, CRNA 4800 E Johnson Ave, Jonesboro, AR 72405-8413 Ph: (662) 377-4394 |
Melissa Anne Cogdell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 E Matthews Ave Ste 303, Jonesboro, AR 72401 Phone: 870-932-4211 | |
Lauren Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
James M Glisson, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-6396 Fax: 870-935-4063 | |
Mrs. Megan Renee Harrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Mr. Terry Mitchel Hughes Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 909 Enterprise Dr, Jonesboro, AR 72401 Phone: 870-336-1100 Fax: 870-336-1134 | |
Paul S Blumreich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
Edmund Carmack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 |