| Scotty L Reddin, CRNA | |
|
1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | |
| (870) 535-7457 | |
| (870) 535-2522 |
| Full Name | Scotty L Reddin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578568507 | NPI | - | NPPES |
| 142564701 | Medicaid | AR | |
| 5W210 | Other | AR | BCBS |
| 430061249 | Other | RRMCR/PGBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C01282 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Regional Anesthesia Llc | 6204171846 | 16 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800962 PECOS PAC ID: 7911802079 Enrollment ID: O20040331000754 |
| Entity Name | Jefferson Regional Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Scotty L Reddin, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Scotty L Reddin, CRNA 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864 | |
Kolton Layne Hooks, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100 | |
Jon C Valentine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |