Mary Alice Hall, CRNA | |
9140 Highway 51 N # South, Southaven, MS 38671-1233 | |
(662) 280-8222 | |
(662) 280-5541 |
Full Name | Mary Alice Hall |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 9140 Highway 51 N # South, Southaven, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013145499 | NPI | - | NPPES |
RN0000158536 | Other | TN | RN LICENSE |
892560 | Other | MS | CRNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN0000158536 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 14352 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Magnolia Regional Health Center | Corinth, 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 |
---|---|
Mary Alice Hall, CRNA 3340 Players Club Pkwy Ste 350, Memphis, TN 38125-8949 Ph: (901) 844-1590 | Mary Alice Hall, CRNA 9140 Highway 51 N # South, Southaven, MS 38671-1233 Ph: (662) 280-8222 |
Jonathan Wesley Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 | |
Jesse Clements, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 901-484-8313 | |
Robert Lawrence Ryan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 662-349-9136 Fax: 662-349-0677 | |
Steven Keith Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-2659 Fax: 662-349-2653 | |
Nikkita Shanee Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 855-999-1345 | |
Morgan Thomas Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 662-349-2659 | |
Angela D. Mccoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 334-244-1830 |