| Joshua Blake Travis, DNP | |
|
215 Marion Ave, Mccomb, MS 39648-2705 | |
| (601) 249-5500 | |
| Not Available |
| Full Name | Joshua Blake Travis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 215 Marion Ave, Mccomb, 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 |
|---|---|---|---|
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Paducah, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| 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: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 |