| Mary Jennifer Coffman, CRNA | |
|
1701 Pelham Rd S, Jacksonville, AL 36265-3353 | |
| (256) 782-4523 | |
| (256) 782-4184 |
| Full Name | Mary Jennifer Coffman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1701 Pelham Rd S, Jacksonville, Alabama |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841348125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1080055 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Deaconess Illinois Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| G And G Anesthesia Llc | 4981912607 | 92 |
| Greenland Anesthesia Management, Llc | 2668886425 | 21 |
| Entity Name | G & G Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
| Entity Name | 360 Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230322000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jennifer Coffman, CRNA 1701 Pelham Rd S, Jacksonville, AL 36265-3353 Ph: (256) 782-4523 | Mary Jennifer Coffman, CRNA 1701 Pelham Rd S, Jacksonville, AL 36265-3353 Ph: (256) 782-4523 |
Mrs. Arlene R Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1210 Jacksons Way Sw, Jacksonville, AL 36265 Phone: 256-435-6999 |
Mr. Frank A Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1210 Jacksons Way Sw, Jacksonville, AL 36265 Phone: 256-435-6999 Fax: 256-435-6999 |
Donna Renee Appleton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-782-4523 Fax: 256-782-4184 |
Wade Bilger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-435-4970 |
Mr. Kenneth Wayne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 Phone: 256-435-4970 |