Edward Lee Phelps, CRNA | |
1203 Bluff Rd, Coldwater, MS 38618-6719 | |
(662) 562-7654 | |
Not Available |
Full Name | Edward Lee Phelps |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 1203 Bluff Rd, Coldwater, 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 |
---|---|---|---|
1205097409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R862681 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional One Health | Memphis, TN | Hospital |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Of Mississippi Llc | 4789057878 | 33 |
Midsouth Speciality Anesthesia Services Llc | 6103293667 | 24 |
Ut Regional One Physicians Inc | 5698993418 | 277 |
Midsouth Speciality Anesthesia Services Llc | 6103293667 | 24 |
Entity Name | Mid-south Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869520 PECOS PAC ID: 0244223196 Enrollment ID: O20040406001057 |
Entity Name | Willow Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
Entity Name | Anesthesia Health Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20200924001998 |
Entity Name | Midsouth Speciality Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245956440 PECOS PAC ID: 6103293667 Enrollment ID: O20221114002027 |
Entity Name | American Anesthesiology Of Mississippi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023723558 PECOS PAC ID: 4789057878 Enrollment ID: O20230311000163 |
Mailing Address | Practice Location Address |
---|---|
Edward Lee Phelps, CRNA 1203 Bluff Rd, Coldwater, MS 38618-6719 Ph: (662) 562-7654 | Edward Lee Phelps, CRNA 1203 Bluff Rd, Coldwater, MS 38618-6719 Ph: (662) 562-7654 |
Patricia Dianne Hudson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 271 Golden Rd, Coldwater, MS 38618 Phone: 662-292-1301 |