Clifford Blaylock, CRNA | |
208 Rachelle Dr, Oxford, MS 38655-6135 | |
(662) 281-8700 | |
Not Available |
Full Name | Clifford Blaylock |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 208 Rachelle Dr, Oxford, 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 |
---|---|---|---|
1043259146 | NPI | - | NPPES |
00119446 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R782755 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rayner Eye Clinic, Llc | 9537136577 | 10 |
Entity Name | Rayner Eye Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326148578 PECOS PAC ID: 9537136577 Enrollment ID: O20040910000538 |
Mailing Address | Practice Location Address |
---|---|
Clifford Blaylock, CRNA 208 Rachelle Dr, Oxford, MS 38655-6135 Ph: (662) 281-8700 | Clifford Blaylock, CRNA 208 Rachelle Dr, Oxford, MS 38655-6135 Ph: (662) 281-8700 |
Julie Y. Fernanadez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8100 Fax: 334-244-1830 | |
Penneye Holder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888 | |
Kevin Bowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-377-4394 | |
Lori Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 W Oxford Loop Ste 117, Oxford, MS 38655 Phone: 662-550-4299 Fax: 662-580-4324 | |
Bradley Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100 | |
Mrs. Laura Nicole Billingsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 Downing St, Oxford, MS 38655 Phone: 662-501-0119 |