| Mrs Christina Rayburn Fortenberry, CRNA | |
|
215 Marion Ave, Mccomb, MS 39648-2705 | |
| (601) 249-5500 | |
| Not Available |
| Full Name | Mrs Christina Rayburn Fortenberry |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 215 Marion Ave, Mccomb, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902989700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R854811 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kings Daughters Medical Center | 3072575539 | 63 |
| Physicians Anesthesia Group, P.a. | 6103806864 | 49 |
| Mccomb Anesthesia Associates, Llp | 6204823891 | 14 |
| 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 | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20191228000191 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447818026 PECOS PAC ID: 9830593821 Enrollment ID: O20210812003936 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christina Rayburn Fortenberry, CRNA 329 West Chippewa Street, Brookhaven, MS 39601 Ph: (601) 823-6778 | Mrs Christina Rayburn Fortenberry, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 |
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 |