| Mr Michael Ray Mabrey, CRNA | |
|
702 N Main St, Opp, AL 36467-1626 | |
| (334) 493-3541 | |
| (334) 493-9664 |
| Full Name | Mr Michael Ray Mabrey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 702 N Main St, Opp, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841247111 | NPI | - | NPPES |
| 051026302MAB | Other | AL | BCBS PROVICER NUMBER |
| 000026302 | Medicaid | AL | |
| Q47286C545 | Other | NC | MEDICARE - CRNA ONLY |
| 186VP/028G4 | Other | NC | BCBS - CRNA ONLY |
| PO1383957 | Other | NC | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 268206 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-033536 (Alabama) | Primary |
| Entity Name | Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821013905 PECOS PAC ID: 3476570870 Enrollment ID: O20051025000816 |
| Entity Name | Mizell Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013937705 PECOS PAC ID: 6507820990 Enrollment ID: O20051220000136 |
| Entity Name | Epix Anesthesia Of Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
| Entity Name | Community Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Ray Mabrey, CRNA Po Box 1010, Opp, AL 36467-1010 Ph: (334) 493-3541 | Mr Michael Ray Mabrey, CRNA 702 N Main St, Opp, AL 36467-1626 Ph: (334) 493-3541 |
Aaron Franklin Holloway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 702 N Main St, Opp, AL 36467 Phone: 334-493-3541 Fax: 334-493-9664 |