| Joshua Blake Travis, DNP | |
|
215 Marion Ave, Mccomb, MS 39648-2705 | |
| (601) 249-5500 | |
| Not Available |
| Full Name | Joshua Blake Travis |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 215 Marion Ave, Mccomb, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225608078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 904178 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901853 (Mississippi) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Blake Travis, DNP 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 | Joshua Blake Travis, DNP 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 |
Mr. Jason Todd Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709 | |
Mr. Hugh Russell Fortenberry Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709 | |
Mr. George Rayford Smith Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Dr., Mccomb, MS 39648 Phone: 601-249-5500 | |
Rachel Spiers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 | |
Irby Lee Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 Fax: 601-249-1709 | |
Mrs. Sarah Dart Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709 | |
Anesha Handshaw, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 |