| Spencer Dickerson, CRNA | |
|
1314 19th Ave, Meridian, MS 39301-4116 | |
| (601) 703-9687 | |
| (601) 703-9920 |
| Full Name | Spencer Dickerson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1314 19th Ave, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1912362385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 888420 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meridian Anesthesiology Group, Inc | 1759345192 | 21 |
| Medical Foundation Inc | 9234043712 | 116 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Rush Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
| Entity Name | Meridian Anesthesiology Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639181019 PECOS PAC ID: 1759345192 Enrollment ID: O20041116000675 |
| Entity Name | Laird Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
| Entity Name | Scott Regional Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
| Entity Name | Kemper Cah, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Dickerson, CRNA Po Box 5183, Meridian, MS 39302-5183 Ph: (601) 703-4282 | Spencer Dickerson, CRNA 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-9687 |
Jamey D. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9283 | |
Holly Marie Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-353-6341 Fax: 844-752-2164 | |
Katie P Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1926 23rd Ave, Meridian, MS 39301 Phone: 601-485-1131 | |
Myrna L. Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9920 | |
Mrs. Brandi Rashel Carmichael, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-533-6000 Fax: 601-553-6994 | |
Joe R Martin Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Kimberly Cooper Doolittle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6650 |