| Jennifer Elizabeth Vicknair, CRNA | |
|
778 Scogin Dr, Monticello, AR 71655-5729 | |
| (870) 367-2411 | |
| Not Available |
| Full Name | Jennifer Elizabeth Vicknair |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 778 Scogin Dr, Monticello, Arkansas |
| 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 |
|---|---|---|---|
| 1306861398 | NPI | - | NPPES |
| 1179272 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest City Medical Center | Forrest city, AR | Hospital |
| Medical Center Of South Arkansas | El dorado, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youngs Professional Services Llc | 2163524992 | 218 |
| Youngs Professional Services Llc | 2163524992 | 218 |
| Rural Health Pain Management Llc | 8921410341 | 32 |
| Entity Name | Franklin Parish Hospital Service District No1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
| Entity Name | Riverside Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518918556 PECOS PAC ID: 3476527946 Enrollment ID: O20040820000805 |
| Entity Name | Willis Knighton Medical Center Inc Crna Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
| Entity Name | Richland Parish Hospital Service District No 1-b |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012 |
| Entity Name | Medical Center Anesthesiologists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
| Entity Name | Christus Health Northern Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997 |
| 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 | Shreveport Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770083164 PECOS PAC ID: 3173886736 Enrollment ID: O20180412000333 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Elizabeth Vicknair, CRNA 443 Fiddlers Creek Dr, West Monroe, LA 71291-1774 Ph: (318) 381-2130 | Jennifer Elizabeth Vicknair, CRNA 778 Scogin Dr, Monticello, AR 71655-5729 Ph: (870) 367-2411 |
Edward L Weeks Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 |