| Mrs Jodie Brock Mauck, CRNA | |
|
2520 5th St N, Columbus, MS 39705-2008 | |
| (662) 244-1000 | |
| Not Available |
| Full Name | Mrs Jodie Brock Mauck |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2520 5th St N, Columbus, 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 |
|---|---|---|---|
| 1235447533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R874196 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gac Anesthesia Llc | 4587902663 | 5 |
| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
| 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 | Tupelo Anesthesia Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558390443 PECOS PAC ID: 4587566344 Enrollment ID: O20040508000197 |
| 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 | Baptist Memorial Hospital - Golden Triangle Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
| Entity Name | Gac Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386112639 PECOS PAC ID: 4587902663 Enrollment ID: O20190214002975 |
| 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 |
|---|---|
| Mrs Jodie Brock Mauck, CRNA 114 Northgate Dr, Starkville, MS 39759-9742 Ph: (662) 694-1105 | Mrs Jodie Brock Mauck, CRNA 2520 5th St N, Columbus, MS 39705-2008 Ph: (662) 244-1000 |
Mrs. Allison Smith Ozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
William Christopher Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Donna M Reece, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 | |
Thomas O Coker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-5388 | |
Bethany Jo Earhart, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 | |
Brian B Estes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-327-6820 Fax: 662-327-9388 |