| Ms Charlotte A Mcclellan, | |
|
404 Ashridge Pl, Ridgeland, MS 39157-4136 | |
| (601) 898-1472 | |
| Not Available |
| Full Name | Ms Charlotte A Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 404 Ashridge Pl, Ridgeland, 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 |
|---|---|---|---|
| 1629180815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R784906 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Anesthesia Consultants Pa | 4486637881 | 91 |
| Entity Name | Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
| 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 | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charlotte A Mcclellan, 404 Ashridge Pl, Ridgeland, MS 39157-4136 Ph: (601) 898-1472 | Ms Charlotte A Mcclellan, 404 Ashridge Pl, Ridgeland, MS 39157-4136 Ph: (601) 898-1472 |
Mr. John Henry Biddle Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Westfield Rd, Ridgeland, MS 39157 Phone: 601-853-0842 |