Mrs Leatrice R Cowan, CRNA | |
1970 Hospital Dr, Clarksdale, MS 38614-7202 | |
(662) 624-3534 | |
(662) 621-5087 |
Full Name | Mrs Leatrice R Cowan |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1970 Hospital Dr, Clarksdale, 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 |
---|---|---|---|
1346294550 | NPI | - | NPPES |
05287878 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | A810086 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta Health System | 9830593821 | 7 |
Entity Name | Mid-south Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869520 PECOS PAC ID: 0244223196 Enrollment ID: O20040406001057 |
Entity Name | Delta Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
Entity Name | Delta Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447818026 PECOS PAC ID: 9830593821 Enrollment ID: O20210812003936 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leatrice R Cowan, CRNA 1760 Benning St, Memphis, TN 38106-6231 Ph: (901) 948-1033 | Mrs Leatrice R Cowan, CRNA 1970 Hospital Dr, Clarksdale, MS 38614-7202 Ph: (662) 624-3534 |
Sonya Kinnard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3211 | |
Mr. Zachary O'hara Shelby Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-627-3211 | |
Lucius Lewis Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3401 Fax: 662-627-5440 | |
Mr. Alvin Ray Hamilton Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3533 |