Mrs Marcia R Smith, CRNA | |
301 Fisher St, Keesler Afb, MS 39534-2508 | |
(228) 376-4458 | |
Not Available |
Full Name | Mrs Marcia R Smith |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Fisher St, Keesler Afb, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164416962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 552825 (Texas) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 901411 (Mississippi) | Secondary |
Entity Name | Treasure Coast Anesthesia Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013350875 PECOS PAC ID: 2567600588 Enrollment ID: O20130604000335 |
Mailing Address | Practice Location Address |
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Mrs Marcia R Smith, CRNA 1251 Father Ryan Ave, Biloxi, MS 39530-3656 Ph: (228) 376-4458 | Mrs Marcia R Smith, CRNA 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-4458 |
Betsy Smith Majma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-377-6111 | |
Anthony Wayne Reddin Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-2550 | |
Mrs. Kathryn W. Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-6038 |