| Lucius Lewis Jr, CRNA | |
|
1970 Hospital Dr, Clarksdale, MS 38614-7202 | |
| (662) 624-3401 | |
| (662) 627-5440 |
| Full Name | Lucius Lewis Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1970 Hospital Dr, Clarksdale, 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 |
|---|---|---|---|
| 1881768059 | NPI | - | NPPES |
| 04225557 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R868756 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Pa | 4486637881 | 91 |
| Perioperative Services Of Mississippi, Llc | 8921365255 | 80 |
| Entity Name | Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucius Lewis Jr, CRNA 103 Thornwood Dr, Clinton, MS 39056-6226 Ph: (662) 588-0277 | Lucius Lewis Jr, CRNA 1970 Hospital Dr, Clarksdale, MS 38614-7202 Ph: (662) 624-3401 |
Mrs. Leatrice R Cowan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3534 Fax: 662-621-5087 | |
Sonya Kinnard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3211 | |
Mr. Zachary O'hara Shelby Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-627-3211 | |
Mr. Alvin Ray Hamilton Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3533 |