| Caleb Tyler Leach, CRNA | |
|
1030 River Oaks Dr, Flowood, MS 39232-9553 | |
| (601) 490-0492 | |
| Not Available |
| Full Name | Caleb Tyler Leach |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1030 River Oaks Dr, Flowood, 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 |
|---|---|---|---|
| 1588315238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 901756 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Perioperative Services Of Mississippi, Llc | 8921365255 | 80 |
| Entity Name | Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Tyler Leach, CRNA 189 Stone Creek Dr, Madison, MS 39110-5058 Ph: (601) 490-0492 | Caleb Tyler Leach, CRNA 1030 River Oaks Dr, Flowood, MS 39232-9553 Ph: (601) 490-0492 |
Dr. Merrill D Hardy Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2550 Flowood Dr, Suite 400, Flowood, MS 39232 Phone: 601-933-9521 Fax: 601-933-9525 | |
Dr. Constantine P Zouboukos, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 400, Flowood, MS 39232 Phone: 601-933-9521 Fax: 601-933-9525 | |
Thomas Buford, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd Ste 500, Flowood, MS 39232 Phone: 601-420-2040 Fax: 601-420-2356 | |
Sarah H Hines, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1026 N Flowood Dr, Flowood, MS 39232 Phone: 601-936-0681 Fax: 601-936-0686 | |
Dr. Lee E Herring, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 400, Flowood, MS 39232 Phone: 601-933-9521 Fax: 601-933-9525 | |
Billie W. Bruner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1026 N Flowood Dr, Flowood, MS 39232 Phone: 601-936-0681 Fax: 601-936-0686 | |
Dr. Stephen R Snypes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 400, Flowood, MS 39232 Phone: 601-933-9521 Fax: 601-933-9525 |