Mr Jefferson Krawulski Souza, CRNA | |
4070 Us-17 Bus, Murrells Inlet, SC 29576 | |
(843) 652-1000 | |
Not Available |
Full Name | Mr Jefferson Krawulski Souza |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 4070 Us-17 Bus, Murrells Inlet, South Carolina |
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 |
---|---|---|---|
1316180425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3882 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Loris Hospital | Loris, SC | Hospital |
Columbus Regional Healthcare System | Whiteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Physician Associates Ii | 8224031307 | 543 |
Columbus Regional Healthcare System | 2961312228 | 26 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Inlet Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700031002 PECOS PAC ID: 8729143847 Enrollment ID: O20090224000309 |
Entity Name | Georgetown Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104156892 PECOS PAC ID: 7810031242 Enrollment ID: O20100223000196 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Entity Name | Market Common Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598379281 PECOS PAC ID: 6800201427 Enrollment ID: O20210212000530 |
Mailing Address | Practice Location Address |
---|---|
Mr Jefferson Krawulski Souza, CRNA 154 Busbee St, Conway, SC 29526-3100 Ph: (281) 658-4749 | Mr Jefferson Krawulski Souza, CRNA 4070 Us-17 Bus, Murrells Inlet, SC 29576 Ph: (843) 652-1000 |
James David Forrest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 747 Woody Point Dr, Murrells Inlet, SC 29576 Phone: 843-359-9749 | |
Chloe Urig Bond, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Ella Tisdale, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chester Homicki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4070 Highway 17, Murrells Inlet, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Sandra D Shelley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 Highway 17 # B, Murrells Inlet, SC 29576 Phone: 843-651-8211 | |
Richard E Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 B Hwy 17, Murrells Inlet, SC 29576 Phone: 843-669-5162 Fax: 843-667-4573 |