| Raymond R (rusty) Smith, CRNA | |
|
241 Aimee Rd, Ferriday, LA 71334-9615 | |
| (318) 757-6371 | |
| (318) 757-6371 |
| Full Name | Raymond R (rusty) Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 241 Aimee Rd, Ferriday, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548233133 | NPI | - | NPPES |
| 050584209A | Other | MS | MS BLUE CROSS |
| 00127016 | Medicaid | MS | |
| 1139351 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN032208 (Louisiana) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R611034 (Mississippi) | Secondary |
| Entity Name | Hospital Service District No. 1 Of Caldwell Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306865761 PECOS PAC ID: 4587552450 Enrollment ID: O20040310001056 |
| Entity Name | Riverside Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518918556 PECOS PAC ID: 3476527946 Enrollment ID: O20040820000805 |
| Entity Name | Richland Parish Hospital Service District No 1-b |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012 |
| Entity Name | Concordia Parish Hospital Service District Number One |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Arena Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023244779 PECOS PAC ID: 4385795319 Enrollment ID: O20090702000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond R (rusty) Smith, CRNA 241 Aimee Rd, Ferriday, LA 71334-9615 Ph: (318) 757-6371 | Raymond R (rusty) Smith, CRNA 241 Aimee Rd, Ferriday, LA 71334-9615 Ph: (318) 757-6371 |
Robert W Clayton Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 241 Aimee Rd, Ferriday, LA 71334 Phone: 318-336-2220 Fax: 318-336-6060 | |
Robbie J Soileau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 241 Aimee Rd, Ferriday, LA 71334 Phone: 318-757-6371 Fax: 318-757-7847 | |
Katelynn Cliburn Bradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6569 Highway 84, Ferriday, LA 71334 Phone: 318-757-6551 |