Mrs Jodie Brock Mauck, CRNA | |
2520 5th St N, Columbus, MS 39705-2008 | |
(662) 244-1000 | |
Not Available |
Full Name | Mrs Jodie Brock Mauck |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 2520 5th St N, Columbus, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235447533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R874196 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Hospital - Golden Triangle Inc | 1456244623 | 25 |
Gac Anesthesia Llc | 4587902663 | 8 |
Entity Name | Baptist Memorial Hospital - Golden Triangle Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
Entity Name | Gac Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386112639 PECOS PAC ID: 4587902663 Enrollment ID: O20190214002975 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jodie Brock Mauck, CRNA 114 Northgate Dr, Starkville, MS 39759-9742 Ph: (662) 694-1105 | Mrs Jodie Brock Mauck, CRNA 2520 5th St N, Columbus, MS 39705-2008 Ph: (662) 244-1000 |
Mrs. Allison Smith Ozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
William Christopher Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Donna M Reece, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Thomas O Coker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-5388 | |
Brian B Estes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Christy C Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 |