| Mark Fisher, CRNA | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (601) 376-1848 | |
| (601) 376-1894 |
| Full Name | Mark Fisher |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1850 Chadwick Dr, Jackson, 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 |
|---|---|---|---|
| 1255752812 | NPI | - | NPPES |
| 09334366 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R875606 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center-yazoo | Yazoo city, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Pllc | 0941347447 | 126 |
| Perioperative Services Of Mississippi, Llc | 8921365255 | 80 |
| Entity Name | Jackson Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780737577 PECOS PAC ID: 3870585904 Enrollment ID: O20040331000285 |
| 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 | Willow Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Entity Name | Northstar Anesthesia Of Mississippi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124415567 PECOS PAC ID: 1658682117 Enrollment ID: O20150624002329 |
| 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 |
|---|---|
| Mark Fisher, CRNA Po Box 7539, Jackson, MS 39284-7539 Ph: (601) 376-1848 | Mark Fisher, CRNA 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-1848 |
Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Theresa Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619 | |
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 | |
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 |