Mr Grover Scott Cruise, CRNA | |
125 S 12th Ave, Hattiesburg, MS 39401-6106 | |
(601) 310-4509 | |
Not Available |
Full Name | Mr Grover Scott Cruise |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 125 S 12th Ave, Hattiesburg, 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 |
---|---|---|---|
1720043219 | NPI | - | NPPES |
00121803 | Medicaid | MS | |
2116461 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R847413 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Musc Community Physicians | 6507260668 | 793 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20191228000191 |
Mailing Address | Practice Location Address |
---|---|
Mr Grover Scott Cruise, CRNA Po Box 2295, Asheville, NC 28802-2295 Ph: (828) 398-5244 | Mr Grover Scott Cruise, CRNA 125 S 12th Ave, Hattiesburg, MS 39401-6106 Ph: (601) 310-4509 |
Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 | |
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240 | |
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 | |
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 |