Ms Mary Dianne Martin, CRNA | |
149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | |
(228) 467-8775 | |
(228) 467-8667 |
Full Name | Ms Mary Dianne Martin |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 149 Drinkwater Rd, Bay St Louis, 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 |
---|---|---|---|
1356443220 | NPI | - | NPPES |
00126128 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP01498 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Mississippi, Llc | 0143580993 | 90 |
Entity Name | Ochsner Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Dianne Martin, CRNA 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 Ph: (228) 467-8775 | Ms Mary Dianne Martin, CRNA 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 Ph: (228) 467-8775 |
Jared Y Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 149 Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-467-8600 | |
Ms. Dovie Lou Mayes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-467-8775 | |
Kimsey Michelle Cavalier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 149 Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-467-6800 |