| Mr Sherman Christian Stauffer Iii, DNP, CRNA | |
|
121 E Baker St, Indianola, MS 38751-2450 | |
| (662) 887-5235 | |
| Not Available |
| Full Name | Mr Sherman Christian Stauffer Iii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 121 E Baker St, Indianola, 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 |
|---|---|---|---|
| 1811743867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 901913 (Mississippi) | Primary |
| 163WG0000X | Registered Nurse - General Practice | 227374 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Sunflower County Hospital | Indianola, MS | Hospital |
| Greenwood Leflore Hospital | Greenwood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Sunflower County Hospital | 6709771637 | 17 |
| Entity Name | South Sunflower County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sherman Christian Stauffer Iii, DNP, CRNA 3259 Tracer Ln, Memphis, TN 38119-9046 Ph: () - | Mr Sherman Christian Stauffer Iii, DNP, CRNA 121 E Baker St, Indianola, MS 38751-2450 Ph: (662) 887-5235 |
Dr. Lee Taylor Skelton, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 E Baker St, Indianola, MS 38751 Phone: 662-887-6000 | |
Andrew B Lott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 E Baker St, Indianola, MS 38751 Phone: 662-887-5235 Fax: 662-887-4111 |