Mr Gregory Alton Rhodes, CRNA | |
1703 N Buerkle St, Stuttgart, AR 72160-3153 | |
(501) 202-2093 | |
(501) 202-6316 |
Full Name | Mr Gregory Alton Rhodes |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1703 N Buerkle St, Stuttgart, Arkansas |
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 |
---|---|---|---|
1871609057 | NPI | - | NPPES |
07286254 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R858108 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C003138 (Arkansas) | 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 | 121 |
Entity Name | Mid-south Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869520 PECOS PAC ID: 0244223196 Enrollment ID: O20040406001057 |
Entity Name | Baptist Memorial Hospital North Mississippi, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053375576 PECOS PAC ID: 9335057181 Enrollment ID: O20040416000311 |
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 |
---|---|
Mr Gregory Alton Rhodes, CRNA 11001 Executive Center Dr, Little Rock, AR 72211-4316 Ph: (501) 202-2093 | Mr Gregory Alton Rhodes, CRNA 1703 N Buerkle St, Stuttgart, AR 72160-3153 Ph: (501) 202-2093 |
Lisa M. Kyzer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1703 N Buerkle St, Stuttgart, AR 72160 Phone: 501-202-2093 Fax: 501-202-6316 |