| Kevin Berry, CRNA | |
|
499 Azalea Dr, Oxford, MS 38655 | |
| (662) 234-7979 | |
| (334) 244-1830 |
| Full Name | Kevin Berry |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 499 Azalea Dr, Oxford, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528048626 | NPI | - | NPPES |
| 06537247 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 23133 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R798682 (Mississippi) | Primary |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Berry, CRNA Po Box 3488, Dept 05-003, Tupelo, MS 38803-3488 Ph: (662) 234-7979 | Kevin Berry, CRNA 499 Azalea Dr, Oxford, MS 38655 Ph: (662) 234-7979 |
Clifford Blaylock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 208 Rachelle Dr, Oxford, MS 38655 Phone: 662-281-8700 | |
Julie Y. Fernanadez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8100 Fax: 334-244-1830 | |
Penneye Holder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888 | |
Bradley Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100 | |
Mrs. Laura Nicole Billingsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 Downing St, Oxford, MS 38655 Phone: 662-501-0119 | |
Brandon Chase Sivley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-636-1000 | |
Richard Alan Hopper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100 |