| Marcus L Johnson, CRNA | |
|
427 Highway 51 N, Brookhaven, MS 39601-2350 | |
| (601) 833-6011 | |
| Not Available |
| Full Name | Marcus L Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 427 Highway 51 N, Brookhaven, 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 |
|---|---|---|---|
| 1609311802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 891211 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901412 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kings Daughters Medical Center | 3072575539 | 63 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus L Johnson, CRNA 427 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 833-6011 | Marcus L Johnson, CRNA 427 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 833-6011 |
Jeffrey J Michel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 660-826-5960 Fax: 660-826-4852 | |
Gregory L Myrick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 660-826-5960 Fax: 660-826-4852 | |
Mr. Daniel Ben Goza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-6011 | |
Geoffrey R Hodgson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 660-826-5960 Fax: 660-826-4852 |