| Mary P Johnson, CRNA | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 815-2005 | |
| (601) 703-9920 |
| Full Name | Mary P Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629050836 | NPI | - | NPPES |
| 430070545 | Other | RAILROAD MEDICARE | |
| 00125198 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R864870 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweet Dreams Anesthesia Pllc | 1254757685 | 18 |
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| 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 | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| 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 |
| Entity Name | Sweet Dreams Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427667724 PECOS PAC ID: 1254757685 Enrollment ID: O20200817002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary P Johnson, CRNA 504 Clinton Center Drive, Cbo - Suite 4300, Clinton, MS 39056 Ph: (601) 496-9794 | Mary P Johnson, CRNA 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005 |
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 |