| Mrs Leatrice R Cowan, CRNA | |
|
1970 Hospital Dr, Clarksdale, MS 38614-7202 | |
| (662) 624-3534 | |
| (662) 621-5087 |
| Full Name | Mrs Leatrice R Cowan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 1970 Hospital Dr, Clarksdale, 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 |
|---|---|---|---|
| 1346294550 | NPI | - | NPPES |
| 05287878 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | A810086 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Miss Regional Medical Center | 3173969177 | 13 |
| 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 |
| Entity Name | Northwest Miss Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598458515 PECOS PAC ID: 3173969177 Enrollment ID: O20240610002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leatrice R Cowan, CRNA 1760 Benning St, Memphis, TN 38106-6231 Ph: (901) 948-1033 | Mrs Leatrice R Cowan, CRNA 1970 Hospital Dr, Clarksdale, MS 38614-7202 Ph: (662) 624-3534 |
Sonya Kinnard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3211 | |
Mr. Zachary O'hara Shelby Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-627-3211 | |
Lucius Lewis Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3401 Fax: 662-627-5440 | |
Mr. Alvin Ray Hamilton Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-3533 |