Mr Fred Thomas Hurst Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Petal, Mississippi. His current practice location is
68 Redfern Trl, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 310-6813.
Mr Fred Thomas Hurst Jr is licensed to practice in Indiana (license number 861818) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841247954.
Provider's Profile
| Full Name | Mr Fred Thomas Hurst Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 68 Redfern Trl, Petal, Mississippi |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Fred Thomas Hurst Jr attended and graduated from in
NPI Data:
- NPI Number: 1841247954
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Fred Thomas Hurst Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841247954 | NPI | - | NPPES |
| 4244301 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 1517906 | Medicaid | TN | |
| PENDING | Medicaid | WV | |
| 00122661 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2023035281 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R861818 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 861818 (Indiana) | Primary |
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. Mr Fred Thomas Hurst Jr 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 |
|---|
Mr Fred Thomas Hurst Jr, CRNA
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Mr Fred Thomas Hurst Jr, CRNA
68 Redfern Trl,
Petal, MS 39465-9415
Ph: (601) 310-6813 |
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