Mr Fred Thomas Hurst Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Petal, Mississippi. He graduated from nursing school in 1993 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lakeland Hospitals At Niles And St Joseph Inc and his current practice location is
68 Redfern Trl, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 310-6813.
Mr Fred Thomas Hurst Jr is licensed to practice in Indiana (license number 861818) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841247954.
Provider's Profile
| Full Name | Mr Fred Thomas Hurst Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 33 Years |
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| Location | 68 Redfern Trl, Petal, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Fred Thomas Hurst Jr graduated from nursing school in 1993
NPI Data:
- NPI Number: 1841247954
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 05/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618969015
- Enrollment ID: I20250825000112
Medical Identifiers
Medical identifiers for Mr Fred Thomas Hurst Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841247954 | NPI | - | NPPES |
| 1517906 | Medicaid | TN | |
| 4244301 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 00122661 | Medicaid | MS | |
| PENDING | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2023035281 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R861818 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 861818 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeland Hospitals At Niles And St Joseph Inc | 7517929037 | 134 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Fred Thomas Hurst Jr allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134220031
PECOS PAC ID: 7517929037
Enrollment ID: O20041027001172 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Fred Thomas Hurst Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Fred Thomas Hurst Jr, CRNA
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Mr Fred Thomas Hurst Jr, CRNA
68 Redfern Trl,
Petal, MS 39465-9415
Ph: (601) 310-6813 |
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