| Mack U Lloyd, | |
|
208 Aldergate Dr, Lexington, SC 29073-9781 | |
| (208) 360-2002 | |
| Not Available |
| Full Name | Mack U Lloyd |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 208 Aldergate Dr, Lexington, South Carolina |
| 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 |
|---|---|---|---|
| 1740857119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 254424 (South Carolina) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R54336 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Hospitals | Minot, ND | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Anesthesia Pa | 5193638781 | 25 |
| Trinity Health | 7911816020 | 283 |
| Entity Name | Intermountain Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Mack U Lloyd, 208 Aldergate Dr, Lexington, SC 29073-9781 Ph: (208) 360-2002 | Mack U Lloyd, 208 Aldergate Dr, Lexington, SC 29073-9781 Ph: (208) 360-2002 |
Beverly A Martin-davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Pk Blvd, Lexington, SC 29072 Phone: 803-399-9204 | |
Tara Buchanan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr, Lexington, SC 29073 Phone: 803-429-6718 | |
Kourtnie S Vereen-jules, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2480 Two Notch Rd, Lexington, SC 29072 Phone: 803-951-5871 | |
Joy Renee Autry, RN, CLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Lexington, SC 29072 Phone: 803-704-4759 | |
Hope Gambrell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr Ste B, Lexington, SC 29073 Phone: 803-785-6609 | |
Amanda Burgess, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr, Suite B, Lexington, SC 29073 Phone: 803-785-6625 | |
Mrs. Reba Berry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr Ste B, Lexington, SC 29073 Phone: 803-360-8266 |