| Jeremy Wayne Chance, CRNA | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 261-3606 | |
| (601) 579-5166 |
| Full Name | Jeremy Wayne Chance |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 415 S 28th Ave, Hattiesburg, 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 |
|---|---|---|---|
| 1811147937 | NPI | - | NPPES |
| 07802826 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R867441 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Wayne Chance, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606 | Jeremy Wayne Chance, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606 |
Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 | |
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240 | |
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 | |
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166 |