| Michael Queen, | |
|
22 Doctors Dr, Suite C, Ocean Springs, MS 39564-5721 | |
| (678) 553-8150 | |
| (678) 553-8152 |
| Full Name | Michael Queen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 22 Doctors Dr, Ocean Springs, 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 |
|---|---|---|---|
| 1295034015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD.207646 (Louisiana) | Primary |
| 207L00000X | Anesthesiology | 64878 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| The Capital City Anesthesia Group | 1658272844 | 50 |
| Entity Name | The Capital City Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494 |
| Entity Name | Childrens Hospital Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
| Entity Name | Northlake Anesthesiologists, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209 |
| Entity Name | Zephyr Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
| Entity Name | North Oaks Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Queen, Po Box 3488, Dept #05-113, Tupelo, MS 38803-3488 Ph: (678) 553-8150 | Michael Queen, 22 Doctors Dr, Suite C, Ocean Springs, MS 39564-5721 Ph: (678) 553-8150 |
Jeffery Joseph Stuart, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22 Doctors Drive, Suite C, Ocean Springs, MS 39566 Phone: 228-818-0563 Fax: 228-818-0519 | |
Angela Fox, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 22 Doctors Dr, Suite C, Ocean Springs, MS 39564 Phone: 228-818-0563 Fax: 228-818-0519 | |
James E Corder, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-0563 Fax: 228-818-0519 | |
Gary J Sinopoli, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111 Fax: 228-818-0519 | |
Dr. Bart J. Edmiston Sr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3631 Bienville Blvd., Suite A, Ocean Springs, MS 39564 Phone: 228-818-9620 Fax: 228-818-9750 | |
Sherry Hard, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Ocean Springs, MS 39564 Phone: 228-818-0563 Fax: 228-818-0519 |