Laura Polk Phillips, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Madison, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Consultants Pa and her current practice location is
125 Stone Creek Dr, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 207-3135.
Laura Polk Phillips is licensed to practice in Mississippi (license number 127477) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407478209.
Provider's Profile
| Full Name | Laura Polk Phillips |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 125 Stone Creek Dr, Madison, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laura Polk Phillips graduated from nursing school in 2020
NPI Data:
- NPI Number: 1407478209
- Provider Enumeration Date: 05/14/2020
- Last Update Date: 05/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789008517
- Enrollment ID: I20200727000489
Medical Identifiers
Medical identifiers for Laura Polk Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407478209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 127477 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Consultants Pa | 4486637881 | 61 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laura Polk Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Consultants Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750300836
PECOS PAC ID: 4486637881
Enrollment ID: O20040608000711 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Polk Phillips is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Laura Polk Phillips, CRNA
125 Stone Creek Dr,
Madison, MS 39110-5058
Ph: (662) 207-3135 | Laura Polk Phillips, CRNA
125 Stone Creek Dr,
Madison, MS 39110-5058
Ph: (662) 207-3135 |
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