| Bethany Jo Earhart, | |
|
2520 5th St N, Columbus, MS 39705-2008 | |
| (662) 244-1000 | |
| Not Available |
| Full Name | Bethany Jo Earhart |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2520 5th St N, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114753092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 901952 (Mississippi) | Primary |
| Entity Name | Baptist Memorial Hospital - Golden Triangle Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Jo Earhart, 46 Campbell Dr, West Point, MS 39773-6670 Ph: (662) 251-6979 | Bethany Jo Earhart, 2520 5th St N, Columbus, MS 39705-2008 Ph: (662) 244-1000 |
Mrs. Allison Smith Ozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
William Christopher Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Donna M Reece, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Thomas O Coker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-5388 | |
Brian B Estes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Mrs. Jodie Brock Mauck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 |