Mr Samuel White, CRNA | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(601) 426-4507 | |
(601) 426-4228 |
Full Name | Mr Samuel White |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 1220 Jefferson St, Laurel, 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 |
---|---|---|---|
1619916434 | NPI | - | NPPES |
02672767 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R860585 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne General Hospital | Waynesboro, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sweet Dreams Anesthesia Pllc | 1254757685 | 14 |
Wayne General Hospital | 2668457581 | 38 |
Entity Name | Wayne General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093930638 PECOS PAC ID: 2668457581 Enrollment ID: O20040623000865 |
Entity Name | Southern Eye Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417112277 PECOS PAC ID: 9931278637 Enrollment ID: O20080521000442 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Entity Name | Southern Eye Surgery And Laser Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295244226 PECOS PAC ID: 5496030595 Enrollment ID: O20171114002076 |
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 |
Entity Name | R&r Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114494796 PECOS PAC ID: 2163761339 Enrollment ID: O20190306000065 |
Entity Name | Sweet Dreams Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427667724 PECOS PAC ID: 1254757685 Enrollment ID: O20200817002170 |
Entity Name | Soms Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063010189 PECOS PAC ID: 9133531254 Enrollment ID: O20201215000881 |
Mailing Address | Practice Location Address |
---|---|
Mr Samuel White, CRNA Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Mr Samuel White, CRNA 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4507 |
Jeremy Mauldin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Micah Roger Welborn, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Mr. Nick A Deniakos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Sheree Burton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Vonda Faye Walters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Mr. James B Huff Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Connie A Mcalpin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 |