Mr Lewis Wesley Keen Jr, MSN CRNA | |
960 J K Avent Dr, Grenada, MS 38901-5230 | |
(662) 227-7375 | |
Not Available |
Full Name | Mr Lewis Wesley Keen Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 37 Years |
Location | 960 J K Avent Dr, Grenada, 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 |
---|---|---|---|
1255496881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R640557 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Willow Anesthesia Services, Llc | 9234279183 | 28 |
Entity Name | Willow Anesthesia Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831520691 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001658 |
Mailing Address | Practice Location Address |
---|---|
Mr Lewis Wesley Keen Jr, MSN CRNA 867 Haile Rd, Gore Springs, MS 38929-9549 Ph: (662) 226-9889 | Mr Lewis Wesley Keen Jr, MSN CRNA 960 J K Avent Dr, Grenada, MS 38901-5230 Ph: (662) 227-7375 |
Tonesha Spearman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100a Windmill Cv, Grenada, MS 38901 Phone: 662-417-3830 | |
Jessica Heath Alldread, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 101, Grenada, MS 38901 Phone: 662-227-1744 Fax: 662-226-1116 | |
Chasity Davis, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 1209 Sunset Dr, Grenada, MS 38901 Phone: 662-294-0665 | |
David Van Zandt Hesley-hernandez, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 903-746-5363 | |
Mrs. Diana Rochelle Cashaw, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 G Hollow Cv, Grenada, MS 38901 Phone: 662-614-7709 | |
Mrs. Lillie Gibson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 Pender Dr, Grenada, MS 38901 Phone: 662-226-8900 Fax: 662-226-5767 |