| Jeffrey Dupre Jr, CRNA | |
|
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
| (870) 508-1000 | |
| Not Available |
| Full Name | Jeffrey Dupre Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 624 Hospital Dr, Mountain Home, Arkansas |
| 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 |
|---|---|---|---|
| 1164044665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 124699 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Anesthesia Pllc | 5991184863 | 98 |
| Entity Name | 360 Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230911003654 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Dupre Jr, CRNA 372 Northpointe Dr, Mountain Home, AR 72653-8131 Ph: (205) 393-6420 | Jeffrey Dupre Jr, CRNA 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 508-1000 |
Ms. Paula Stork, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 160 Highway 201 N, Mountain Home, AR 72653 Phone: 870-508-2100 Fax: 870-508-2150 | |
Mr. William R Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Dept. 4610, Mountain Home, AR 72653 Phone: 870-508-1810 Fax: 202-209-3049 | |
Betty S Tiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 624 Hospital Drive, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Aaron May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Drive, Dept 4610, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Kenny T Owens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-1000 Fax: 870-424-6616 | |
Lacey Hlass, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 |