| Dr Justin Scott Smith, DNP, CRNA | |
|
301 Fisher St, Keesler Afb, MS 39534-2508 | |
| (228) 376-3821 | |
| (228) 376-3821 |
| Full Name | Dr Justin Scott Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 301 Fisher St, Keesler Afb, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548777147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 901466 (Mississippi) | Primary |
| Entity Name | Jackson County Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922159219 PECOS PAC ID: 9931292729 Enrollment ID: O20070913000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Scott Smith, DNP, CRNA 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-3821 | Dr Justin Scott Smith, DNP, CRNA 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-3821 |
Mrs. Marcia R Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-4458 | |
Betsy Smith Majma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-377-6111 | |
Mathew Ray Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 618-204-0029 | |
Anthony Wayne Reddin Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-2550 | |
Julie Petsche, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 850-389-9915 | |
Mrs. Kathryn W. Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-6038 |