William Jody Cromwell Sr, CRNA is a
Nurse Anesthetist, Certified Registered based in Houston, Mississippi. William Jody Cromwell Sr is licensed to practice in Mississippi (license number R535672) and his current practice location is
1002 E Madison St, Houston, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 456-1163.
NPI number for William Jody Cromwell Sr is 1154340776 and his current mailing address is 1002 E Madison St, Houston, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154340776.
Provider's Profile
| Full Name | William Jody Cromwell Sr |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1002 E Madison St, Houston, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154340776
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/17/2014
Medical Identifiers
Medical identifiers for William Jody Cromwell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154340776 | NPI | - | NPPES |
| 09013354 | Medicaid | MS | |
| 1366465502 | Other | MS | TRACE HOSPITAL NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | R535672 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Jody Cromwell Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
William Jody Cromwell Sr, CRNA 1002 E Madison St, Houston, MS 38851-2417 Ph: (662) 456-1163 | William Jody Cromwell Sr, CRNA 1002 E Madison St, Houston, MS 38851-2417 Ph: (662) 456-1163 |
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