| Thomas Bradley Johnson, CRNA | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (601) 376-1848 | |
| (601) 376-1894 |
| Full Name | Thomas Bradley Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1850 Chadwick Dr, Jackson, 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 |
|---|---|---|---|
| 1245312354 | NPI | - | NPPES |
| 00985356 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R857848 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Anesthesia Group, P.a. | 6103806864 | 49 |
| Entity Name | Jackson Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780737577 PECOS PAC ID: 3870585904 Enrollment ID: O20040331000285 |
| Entity Name | Physicians Anesthesia Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Bradley Johnson, CRNA Po Box 7539, Jackson, MS 39284-7539 Ph: (601) 376-1848 | Thomas Bradley Johnson, CRNA 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-1848 |
Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Theresa Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619 | |
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 | |
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 |