| Mr Derrick K Scott, CRNA | |
|
859 Winter St, Lucedale, MS 39452-6603 | |
| (601) 947-3161 | |
| (601) 947-9948 |
| Full Name | Mr Derrick K Scott |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 41 Years |
| Location | 859 Winter St, Lucedale, 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 |
|---|---|---|---|
| 1154339497 | NPI | - | NPPES |
| 0110750 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R597066 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Usa Health University Hospital | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usa Health Anesthesia Billing Services Llc | 1153659123 | 143 |
| Entity Name | Usa Health Anesthesia Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derrick K Scott, CRNA 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 | Mr Derrick K Scott, CRNA 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 |
Mr. Rhett Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-766-4286 Fax: 601-947-9948 | |
Mr. David A Brentz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 Fax: 601-947-9206 | |
George A Strickland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 Fax: 601-947-9948 | |
Danielle L Hale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 |