Mr Jeremy Langille, | |
321 Mulberry St Sw, Lenoir, NC 28645-5720 | |
(828) 757-5100 | |
Not Available |
Full Name | Mr Jeremy Langille |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 321 Mulberry St Sw, Lenoir, North 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 |
---|---|---|---|
1982731030 | NPI | - | NPPES |
47567560 | Other | TRICARE | |
640942692 | Other | BLUE CROSS OF MS | |
P00181476 | Other | RAILROAD MEDICARE | |
06279255 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 312108 (North Carolina) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | R813945 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Watauga Medical Center | Boone, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watauga Medical Center Inc | 2668377474 | 69 |
Caldwell Memorial Hospital Inc | 5395646970 | 167 |
Entity Name | Watauga Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740312552 PECOS PAC ID: 5395646970 Enrollment ID: O20040219000941 |
Entity Name | Charles A Cannon Jr Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346302783 PECOS PAC ID: 3274426952 Enrollment ID: O20040809001237 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy Langille, 2101 Highway 90, Gautier, MS 39553-5340 Ph: () - | Mr Jeremy Langille, 321 Mulberry St Sw, Lenoir, NC 28645-5720 Ph: (828) 757-5100 |
Thomas R. Ayers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 321 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-5100 Fax: 828-757-6193 | |
Carolyn B. Beamon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 321 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-5100 Fax: 828-757-6193 | |
Julie M Tice, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 321 Mulberry Street, Sw, Lenoir, NC 28645 Phone: 828-757-5388 Fax: 828-757-5237 | |
Travis D. Lowe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 321 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-5100 Fax: 828-757-6193 | |
Mr. Joseph E Stone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 321 Mulberry Street, Sw, Lenoir, NC 28645 Phone: 828-757-8388 Fax: 828-757-5237 | |
Bryce C Lackey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 321 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-5100 | |
Daniel Kenneth Baker, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 321 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-5100 |