Jeremy Mauldin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Laurel, MS

Jeremy Mauldin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Laurel, Mississippi. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice South Central Clinics, Inc and his current practice location is 1220 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 426-4507.

Jeremy Mauldin is licensed to practice in Mississippi (license number R865993) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376792028.

Contact Information

Jeremy Mauldin, CRNA
1220 Jefferson St,
Laurel, MS 39440-4355
(601) 426-4507
(601) 426-4228



Provider's Profile

Full NameJeremy Mauldin
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location1220 Jefferson St, Laurel, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy Mauldin graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1376792028
  • Provider Enumeration Date: 09/17/2008
  • Last Update Date: 02/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1759442023
  • Enrollment ID: I20081204000645

Medical Identifiers

Medical identifiers for Jeremy Mauldin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376792028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R865993 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Central Reg Med CtrLaurel, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Central Clinics, Inc4385876655106

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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. Jeremy Mauldin allows following entities to bill medicare on his behalf.
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834

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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. Jeremy Mauldin 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
Jeremy Mauldin, CRNA
Po Box 247,
Laurel, MS 39441-0247

Ph: (601) 399-6167
Jeremy Mauldin, CRNA
1220 Jefferson St,
Laurel, MS 39440-4355

Ph: (601) 426-4507

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Nurse Anesthetist, Certified Registered Nurses in Laurel, MS

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
Sheree Burton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1710 W 12th St, Laurel, MS 39440
Phone: 601-369-2021    
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    

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