Mr Hugh Russell Fortenberry Jr, CRNA | |
215 Marion Ave, Mccomb, MS 39648-2705 | |
(601) 249-5500 | |
(601) 249-1709 |
Full Name | Mr Hugh Russell Fortenberry Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 215 Marion Ave, Mccomb, 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 |
---|---|---|---|
1003844481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R860046 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bolivar Medical Center | Cleveland, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Mccomb Anesthesia Associates, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619916533 PECOS PAC ID: 6204823891 Enrollment ID: O20040427000438 |
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 Hugh Russell Fortenberry Jr, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 | Mr Hugh Russell Fortenberry Jr, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 |
Mr. Jason Todd Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709 | |
Mr. George Rayford Smith Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Dr., Mccomb, MS 39648 Phone: 601-249-5500 | |
Rachel Spiers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 | |
Irby Lee Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 Fax: 601-249-1709 | |
Mrs. Sarah Dart Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709 | |
Anesha Handshaw, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 |