| Ms Lori K Mitchell, CRNA | |
|
4864 Jackson St, Monroe, LA 71202-6400 | |
| (318) 330-7626 | |
| (318) 330-7648 |
| Full Name | Ms Lori K Mitchell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 4864 Jackson St, Monroe, Louisiana |
| 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 |
|---|---|---|---|
| 1851481865 | NPI | - | NPPES |
| 000019377A | Other | BCBS | |
| 1001546 | Medicaid | LA | |
| 07556529 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R871081 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP04975 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palo Pinto General Hospital | Mineral wells, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palo Pinto County Hospital District | 5890602759 | 34 |
| Entity Name | Palo Pinto County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841258076 PECOS PAC ID: 5890602759 Enrollment ID: O20031106000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lori K Mitchell, CRNA 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7626 | Ms Lori K Mitchell, CRNA 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7626 |
Kory M Gilbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Monroe, LA 71201 Phone: 318-998-6138 Fax: 318-998-6139 | |
Caley Worley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-626-0000 | |
Teresa Halley Willis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3421 Medical Park Dr, Monroe, LA 71203 Phone: 318-388-7890 | |
Kelley Goodman Frankowicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Lora Cullipher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6138 | |
Heather Dianne Duty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 312 Grammont St Ste 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Marti Melinda Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr., Monroe, LA 71203 Phone: 318-388-7890 |