| Bradley Coker, CRNA | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (601) 376-1848 | |
| (601) 376-1894 |
| Full Name | Bradley Coker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1850 Chadwick Dr, Jackson, 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 |
|---|---|---|---|
| 1801166285 | NPI | - | NPPES |
| 00304891 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R877301 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M Kneeland Llc | 2264976331 | 5 |
| Arena Anesthesia Llc | 4385795319 | 8 |
| Entity Name | Jackson Parish Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093793408 PECOS PAC ID: 9335048081 Enrollment ID: O20040102000169 |
| Entity Name | Smso Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054 |
| Entity Name | Arena Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023244779 PECOS PAC ID: 4385795319 Enrollment ID: O20090702000042 |
| Entity Name | Endoscopy Center Of Monroe |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1417957796 PECOS PAC ID: 3173666120 Enrollment ID: O20100130000072 |
| Entity Name | Bayou Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528365947 PECOS PAC ID: 0648456095 Enrollment ID: O20110519000054 |
| Entity Name | M Kneeland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194593269 PECOS PAC ID: 2264976331 Enrollment ID: O20240629000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Coker, CRNA Po Box 7539, Jackson, MS 39284-7539 Ph: (601) 376-1848 | Bradley Coker, CRNA 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-1848 |
Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Theresa Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619 | |
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 | |
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 |