Jeremy Alan Vance, DNP, CRNA | |
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
(601) 261-3606 | |
(601) 579-5240 |
Full Name | Jeremy Alan Vance |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 415 S 28th Ave, Hattiesburg, 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 |
---|---|---|---|
1073029799 | NPI | - | NPPES |
09228816 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 901497 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Hospital | Hattiesburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Alan Vance, DNP, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606 | Jeremy Alan Vance, DNP, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606 |
Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 | |
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 | |
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 |