Mrs Lori Crystal Woullard-breland, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Lori Crystal Woullard-breland, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sentry Anesthesia Management, Llc, Amsol Anesthetists Of Georgia, Llc and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Mrs Lori Crystal Woullard-breland is licensed to practice in Florida (license number APRN9456859) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467749754.

Contact Information

	Mrs Lori Crystal Woullard-breland, CRNA
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 261-3606
	(601) 579-5383

Map and Direction

Provider's Profile

Full Name	Mrs Lori Crystal Woullard-breland
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	415 S 28th Ave, Hattiesburg, 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.

Medical Education and Training:

Mrs Lori Crystal Woullard-breland graduated from nursing school in 2011

NPI Data:

NPI Number: 1467749754
Provider Enumeration Date: 07/07/2011
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4284899733
Enrollment ID: I20171102002004

Medical Identifiers

Medical identifiers for Mrs Lori Crystal Woullard-breland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467749754	NPI	-	NPPES
3476675	Other	MS	UNITED HEALTHCARE
9369843	Other	MS	AETNA
07527007	Medicaid	MS
6655503	Other	MS	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R859468 (Mississippi)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9456859 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jack Hughston Memorial Hospital	Phenix city, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sentry Anesthesia Management, Llc	9436372323	203
Amsol Anesthetists Of Georgia, Llc	5193780955	20

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lori Crystal Woullard-breland allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Sentry Anesthesia Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571

Entity Name	Hospitalist Medicine Physicians Of Georgia - Tcs, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lori Crystal Woullard-breland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Lori Crystal Woullard-breland, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463	Mrs Lori Crystal Woullard-breland, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Mrs Lori Crystal Woullard-breland, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS