Jessica Lee Luce, CRNA | |
3728 Seamist Dr, Gautier, MS 39553-5426 | |
(228) 990-9977 | |
Not Available |
Full Name | Jessica Lee Luce |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3728 Seamist Dr, Gautier, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033133657 | NPI | - | NPPES |
51535829 | Other | AL | BLUE SHIELD |
009938166 | Medicaid | AL | |
04878079 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-095313 (Alabama) | Primary |
Entity Name | Coastal Anesthesia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588637169 PECOS PAC ID: 1052213519 Enrollment ID: O20040123001037 |
Entity Name | Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649265810 PECOS PAC ID: 1557352754 Enrollment ID: O20040518001018 |
Entity Name | South Baldwin Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922345438 PECOS PAC ID: 8022262864 Enrollment ID: O20130204000234 |
Entity Name | Anesthesiacare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881099174 PECOS PAC ID: 2961727169 Enrollment ID: O20150211000141 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lee Luce, CRNA 3728 Seamist Dr, Gautier, MS 39553-5426 Ph: (228) 990-9977 | Jessica Lee Luce, CRNA 3728 Seamist Dr, Gautier, MS 39553-5426 Ph: (228) 990-9977 |
Allyson Perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 Highway 90, Gautier, MS 39553 Phone: 228-497-7576 Fax: 228-497-7576 | |
Mr. Gregory Paul Greer, CRNA, MHS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 Highway 90, Gautier, MS 39553 Phone: 228-809-5000 |