Lucius Lewis Jr, CRNA | |
1970 Hospital Dr, Clarksdale, MS 38614-7202 | |
(662) 624-3401 | |
(662) 627-5440 |
Full Name | Lucius Lewis Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1970 Hospital Dr, Clarksdale, 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 |
---|---|---|---|
1881768059 | NPI | - | NPPES |
04225557 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R868756 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consultants Pa | 4486637881 | 61 |
Perioperative Services Of Mississippi, Llc | 8921365255 | 102 |
Entity Name | Anesthesia Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
Entity Name | Perioperative Services Of Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
Mailing Address | Practice Location Address |
---|---|
Lucius Lewis Jr, CRNA 103 Thornwood Dr, Clinton, MS 39056-6226 Ph: (662) 588-0277 | Lucius Lewis Jr, CRNA 1970 Hospital Dr, Clarksdale, MS 38614-7202 Ph: (662) 624-3401 |
Mrs. Leatrice R Cowan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3534 Fax: 662-621-5087 | |
Sonya Kinnard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3211 | |
Mr. Zachary O'hara Shelby Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-627-3211 | |
Mr. Alvin Ray Hamilton Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3533 |