Mr Paul R Anderson Iii, CRNA in Mccomb, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Paul R Anderson Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mccomb, Mississippi. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mccomb Anesthesia Associates, Llp, Delta Health System, Holzer Clinic Llc and his current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Mr Paul R Anderson Iii is licensed to practice in Mississippi (license number 875933) 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 1417909003.

Contact Information

	Mr Paul R Anderson Iii, CRNA
	215 Marion Ave, Mccomb, MS 39648-2705
	(601) 249-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Paul R Anderson Iii
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	215 Marion Ave, Mccomb, 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.

Medical Education and Training:

Mr Paul R Anderson Iii graduated from nursing school in 2005

NPI Data:

NPI Number: 1417909003
Provider Enumeration Date: 05/16/2006
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 1355357914
Enrollment ID: I20070622000139

Medical Identifiers

Medical identifiers for Mr Paul R Anderson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417909003	NPI	-	NPPES
00107335	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	875933 (Mississippi)	Primary
367500000X	Nurse Anesthetist, Certified Registered	1072774 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delta Regional Medical Center	Greenville, MS	Hospital
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mccomb Anesthesia Associates, Llp	6204823891	14
Delta Health System	9830593821	11
Holzer Clinic Llc	5890606008	264

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 Paul R Anderson Iii allows following entities to bill medicare on his behalf.

Entity Name	Mccomb Anesthesia Associates, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619916533 PECOS PAC ID: 6204823891 Enrollment ID: O20040427000438

Entity Name	Physicians Anesthesia Group, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

Entity Name	Perioperative Services Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010

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 Paul R Anderson Iii 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
Mr Paul R Anderson Iii, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960	Mr Paul R Anderson Iii, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mccomb, MS

Mr. Jason Todd Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Mr. Hugh Russell Fortenberry Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Mr. George Rayford Smith Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Dr., Mccomb, MS 39648 Phone: 601-249-5500
Rachel Spiers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183
Irby Lee Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 Fax: 601-249-1709
Mrs. Sarah Dart Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Anesha Handshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500

Mr Paul R Anderson Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mccomb, MS