Jimmy Rex Stocks, CRNA | |
1801 W 40th Ave Ste 2b, Pine Bluff, AR 71603-6957 | |
(870) 535-7457 | |
(870) 535-2522 |
Full Name | Jimmy Rex Stocks |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1801 W 40th Ave Ste 2b, Pine Bluff, Arkansas |
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 |
---|---|---|---|
1861639817 | NPI | - | NPPES |
176401001 | Medicaid | AR | |
P00698157 | Other | RRMCR/PGBA | |
5R299 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C02733 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Regional Anesthesia Llc | 6204171846 | 15 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Entity Name | Jefferson Regional Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163 |
Mailing Address | Practice Location Address |
---|---|
Jimmy Rex Stocks, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Jimmy Rex Stocks, CRNA 1801 W 40th Ave Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864 | |
Jon C Valentine, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Mr. Nicholas Holloway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |