Angela D Mccoy, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Southaven, MS

Angela D Mccoy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southaven, Mississippi. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ut Regional One Physicians Inc, Excelle Anesthesia Services Inc and her current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 772-4333.

Angela D Mccoy is licensed to practice in Mississippi (license number R858272) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538394366.

Contact Information

Angela D Mccoy, CRNA
7601 Southcrest Pkwy,
Southaven, MS 38671-4739
(662) 772-4333
(334) 244-1830



Provider's Profile

Full NameAngela D Mccoy
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angela D Mccoy graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1538394366
  • Provider Enumeration Date: 05/22/2009
  • Last Update Date: 05/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052443314
  • Enrollment ID: I20190529003013

Medical Identifiers

Medical identifiers for Angela D Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538394366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 25237 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered R858272 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy HospitalBakersfield, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Regional One Physicians Inc5698993418270
Excelle Anesthesia Services Inc468804677425

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela D Mccoy allows following entities to bill medicare on her behalf.
Entity NameEast Memphis Anesthesia Services Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578592663
PECOS PAC ID: 1850386038
Enrollment ID: O20040416001400

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Entity NameLifelinc Anesthesia Ii, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821397233
PECOS PAC ID: 2668658493
Enrollment ID: O20110512000311

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Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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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. Angela D Mccoy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angela D Mccoy, CRNA
Po Box 235022,
Montgomery, AL 36123-5022

Ph: (334) 386-2053
Angela D Mccoy, CRNA
7601 Southcrest Pkwy,
Southaven, MS 38671-4739

Ph: (662) 772-4333

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› Verified 4 days ago


Nurse Anesthetist, Certified Registered Nurses in Southaven, MS

Jonathan Wesley Reed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4333    
Jesse Clements,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671
Phone: 901-484-8313    
Robert Lawrence Ryan, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 7580 Clarington Cv, Southaven, MS 38671
Phone: 662-349-9136    Fax: 662-349-0677
Steven Keith Owens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-349-2659    Fax: 662-349-2653
Nikkita Shanee Robinson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4333    Fax: 855-999-1345
Morgan Thomas Smith,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671
Phone: 662-349-2659    

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