Harold J Grissom, CRNA | |
2520 5th St N, Columbus, MS 39705-2008 | |
(662) 244-1000 | |
(662) 327-6004 |
Full Name | Harold J Grissom |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 2520 5th St N, Columbus, 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 |
---|---|---|---|
1578740205 | NPI | - | NPPES |
149323637 | Other | MS | TRI-CARE |
04438041 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R857989 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Hospital - Golden Triangle Inc | 1456244623 | 25 |
Entity Name | Baptist Memorial Hospital - Golden Triangle Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
Entity Name | Gac Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386112639 PECOS PAC ID: 4587902663 Enrollment ID: O20190214002975 |
Mailing Address | Practice Location Address |
---|---|
Harold J Grissom, CRNA 29 Creamery Ln, Easton, MD 21601-3137 Ph: (800) 222-1335 | Harold J Grissom, CRNA 2520 5th St N, Columbus, MS 39705-2008 Ph: (662) 244-1000 |
Mrs. Allison Smith Ozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
William Christopher Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Donna M Reece, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Thomas O Coker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-5388 | |
Brian B Estes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Mrs. Jodie Brock Mauck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
Christy C Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 |