| Sheree Burton, | |
|
1710 W 12th St, Laurel, MS 39440-2559 | |
| (601) 369-2021 | |
| Not Available |
| Full Name | Sheree Burton |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1710 W 12th St, Laurel, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437184892 | NPI | - | NPPES |
| 01224218 | Medicaid | MS | |
| 00116571 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R544671 (Mississippi) | Primary |
| 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 |
|---|---|
| Sheree Burton, 1710 W 12th St, Laurel, MS 39440-2559 Ph: (601) 369-2021 | Sheree Burton, 1710 W 12th St, Laurel, MS 39440-2559 Ph: (601) 369-2021 |
Jeremy Mauldin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Micah Roger Welborn, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Mr. Nick A Deniakos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Vonda Faye Walters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2021 | |
Mr. James B Huff Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Connie A Mcalpin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 |