| Mindy Manning Douglas, CRNA | |
|
303 Medical Center Dr, Batesville, MS 38606-8608 | |
| (866) 362-6963 | |
| (866) 362-4202 |
| Full Name | Mindy Manning Douglas |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 303 Medical Center Dr, Batesville, 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 |
|---|---|---|---|
| 1679913750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R876132 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 21221 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Pllc | 0941347447 | 126 |
| Gastroenterology Center Of The Midsouth Pllc | 4880619824 | 155 |
| Entity Name | Gastroenterology Center Of The Midsouth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20051010000483 |
| 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 |
|---|---|
| Mindy Manning Douglas, CRNA 716 W Brookhaven Cir, Memphis, TN 38117-4504 Ph: (901) 844-1590 | Mindy Manning Douglas, CRNA 303 Medical Center Dr, Batesville, MS 38606-8608 Ph: (866) 362-6963 |
Kristina Lynn Hintzsche, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-550-4299 Fax: 662-580-4324 | |
William Kline, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-563-5611 | |
David Garret Mccullen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-563-0155 |