Justin C Walley, CRNA | |
1314 19th Ave, Meridian, MS 39301-4116 | |
(601) 703-9687 | |
(601) 703-9920 |
Full Name | Justin C Walley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 1314 19th Ave, Meridian, 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 |
---|---|---|---|
1871674606 | NPI | - | NPPES |
02676766 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R860609 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia Pllc | 0941347447 | 121 |
Entity Name | Lifelinc Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
Mailing Address | Practice Location Address |
---|---|
Justin C Walley, CRNA 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-4282 | Justin C Walley, CRNA 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-9687 |
Jamey D. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9283 | |
Holly Marie Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-353-6341 Fax: 844-752-2164 | |
Katie P Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1926 23rd Ave, Meridian, MS 39301 Phone: 601-485-1131 | |
Myrna L. Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9920 | |
Mrs. Brandi Rashel Carmichael, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-533-6000 Fax: 601-553-6994 | |
Joe R Martin Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Joseph B Sayers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 |