Mr Laird Miller, | |
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
(228) 809-5000 | |
Not Available |
Full Name | Mr Laird Miller |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 37 Years |
Location | 2809 Denny Ave, Pascagoula, 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 |
---|---|---|---|
1023145885 | NPI | - | NPPES |
LM02685074 | Medicaid | MS | |
430079421 | Other | RAILROAD MEDICARE | |
640942692 | Other | BLUE CROSS OF MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R866472 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Springhill Medical Center | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Lake Health Springhill Llc | 2365830007 | 38 |
Entity Name | Physynergy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
Entity Name | Blue Lake Health Springhill Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194496216 PECOS PAC ID: 2365830007 Enrollment ID: O20211028001840 |
Mailing Address | Practice Location Address |
---|---|
Mr Laird Miller, 2101 Highway 90, Gautier, MS 39553-5340 Ph: () - | Mr Laird Miller, 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5000 |
Amanda Graham Dobbins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-806-4525 | |
Andrew J Zielinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5540 Fax: 228-809-1153 | |
Mr. Christopher Arlen Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5531 Fax: 228-809-1153 | |
Jonathan White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Mrs. Christine Cooper Bowman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Robert Shotlander, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 |