| Micah Roger Welborn, CRNA | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 426-4000 | |
| Not Available |
| Full Name | Micah Roger Welborn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1220 Jefferson St, Laurel, 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 |
|---|---|---|---|
| 1407289283 | NPI | - | NPPES |
| 08638062 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 871238 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wayne General Hospital | Waynesboro, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweet Dreams Anesthesia Pllc | 1254757685 | 18 |
| Wayne General Hospital | 2668457581 | 30 |
| Entity Name | Wayne General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093930638 PECOS PAC ID: 2668457581 Enrollment ID: O20040623000865 |
| Entity Name | Gastrointestinal Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093765604 PECOS PAC ID: 5294795241 Enrollment ID: O20041013001263 |
| 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 | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| 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 |
| Entity Name | Gi Alliance Anesthesia Of Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780303446 PECOS PAC ID: 3173963949 Enrollment ID: O20240426000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Roger Welborn, CRNA Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Micah Roger Welborn, CRNA 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4000 |
Jeremy Mauldin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Mr. Nick A Deniakos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Sheree Burton, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Vonda Faye Walters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Mr. James B Huff Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Connie A Mcalpin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 |