| Keith Edward James, CRNA | |
|
2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | |
| (903) 577-6000 | |
| Not Available |
| Full Name | Keith Edward James |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 2001 N Jefferson Ave, Mount Pleasant, Texas |
| 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 |
|---|---|---|---|
| 1598705691 | NPI | - | NPPES |
| 166171202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 71379 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 699953 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| National Park Medical Center | Hot springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youngs Professional Services Llc | 2163524992 | 218 |
| Ouachita Regional Anesthesia Pllc | 4183619216 | 18 |
| Entity Name | Ouachita Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982699153 PECOS PAC ID: 4183619216 Enrollment ID: O20040419000399 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Edward James, CRNA Po Box 511, Mount Pleasant, TX 75456-0511 Ph: (903) 577-6000 | Keith Edward James, CRNA 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 Ph: (903) 577-6000 |
Caleb Heath Mitchell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 | |
Ms. Lenora Patterson Graziani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 Fax: 903-577-6245 | |
Mr. Clinton Marcus Echols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 906-577-6000 | |
Mitchell Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 | |
Jensie Elizabeth Harte, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 |