| Jeffrey J Michel, CRNA | |
|
427 Highway 51 N, Brookhaven, MS 39601-2350 | |
| (660) 826-5960 | |
| (660) 826-4852 |
| Full Name | Jeffrey J Michel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 427 Highway 51 N, Brookhaven, 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 |
|---|---|---|---|
| 1023069333 | NPI | - | NPPES |
| 00124980 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 862871 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kings Daughters Medical Center | 3072575539 | 63 |
| Mccomb Anesthesia Associates, Llp | 6204823891 | 14 |
| Entity Name | Mccomb Anesthesia Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619916533 PECOS PAC ID: 6204823891 Enrollment ID: O20040427000438 |
| Entity Name | Physicians Anesthesia Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Entity Name | Soms Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063010189 PECOS PAC ID: 9133531254 Enrollment ID: O20201215000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Michel, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960 | Jeffrey J Michel, CRNA 427 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (660) 826-5960 |
Gregory L Myrick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 660-826-5960 Fax: 660-826-4852 | |
Mr. Daniel Ben Goza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-6011 | |
Geoffrey R Hodgson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 660-826-5960 Fax: 660-826-4852 |