| Jeremy Mauldin, CRNA | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 426-4507 | |
| (601) 426-4228 |
| Full Name | Jeremy Mauldin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1220 Jefferson St, Laurel, 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 |
|---|---|---|---|
| 1376792028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R865993 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Clinics, Inc | 4385876655 | 108 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Mauldin, CRNA Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Jeremy Mauldin, CRNA 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4507 |
Micah Roger Welborn, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Mr. Nick A Deniakos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Sheree Burton, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Vonda Faye Walters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Mr. James B Huff Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Connie A Mcalpin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 |