| Mr Selby Reed Thames, CRNA | |
|
755 N 11th St Ste P3600, Beaumont, TX 77702-1515 | |
| (469) 437-3564 | |
| (469) 825-6903 |
| Full Name | Mr Selby Reed Thames |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 755 N 11th St Ste P3600, Beaumont, Texas |
| 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 |
|---|---|---|---|
| 1083331599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP1108303 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Pllc | 0941347447 | 169 |
| Clay County Medical Corporation | 4789649609 | 36 |
| North Mississippi Medical Center, Inc. | 9931010600 | 361 |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Entity Name | Clay County Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718 |
| Entity Name | Lifelinc Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Entity Name | Monroe Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1619559309 PECOS PAC ID: 8224376561 Enrollment ID: O20210602001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Selby Reed Thames, CRNA 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 Ph: (469) 437-3564 | Mr Selby Reed Thames, CRNA 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 Ph: (469) 437-3564 |
Mrs. Bonni Blue Stancoven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 |
Mrs. Ashley Lynn Billot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-838-5214 |
Steven Chad Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 |
Derek Chambless, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 |
Thomas Maddox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 |
Keli Ardoin Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P 3600, Beaumont, TX 77702 Phone: 409-838-5214 |
Garrett Gibbs, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 |