| Erica M Goodrich, CRNA | |
|
7601 Southcrest Pkwy, Southaven, MS 38671-4739 | |
| (662) 772-4333 | |
| Not Available |
| Full Name | Erica M Goodrich |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 7601 Southcrest Pkwy, Southaven, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902287444 | NPI | - | NPPES |
| 99999 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 20835 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R889585 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital | Memphis, TN | Hospital |
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Ii, Pllc | 2668658493 | 49 |
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 150 |
| American Anesthesiology Of Mississippi Llc | 4789057878 | 26 |
| Ut Regional One Physicians Inc | 5698993418 | 329 |
| Entity Name | Medical Anesthesia Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679527501 PECOS PAC ID: 9436047685 Enrollment ID: O20040726000882 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica M Goodrich, CRNA 7956 Vaughn Rd # 165, Montgomery, AL 36116-6625 Ph: (888) 233-1493 | Erica M Goodrich, CRNA 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-4333 |
Jonathan Wesley Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 | |
Jesse Clements, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 901-484-8313 | |
Robert Lawrence Ryan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 662-349-9136 Fax: 662-349-0677 | |
Steven Keith Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-2659 Fax: 662-349-2653 | |
Nikkita Shanee Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 855-999-1345 | |
Morgan Thomas Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 662-349-2659 | |
Angela D. Mccoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 334-244-1830 |