Mrs Rebecca Patricia Fairly, CRNA - Nurse Anesthetist, Certified Registered in Jackson, MS

Mrs Rebecca Patricia Fairly, CRNA is a Nurse Anesthetist, Certified Registered based in Jackson, Mississippi. Mrs Rebecca Patricia Fairly is licensed to practice in Mississippi (license number R594792) and her current practice location is 2500 N State St, Pfs, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 984-4619.

NPI number for Mrs Rebecca Patricia Fairly is 1073697090 and her current mailing address is 109 Lake Hill Pl, Brandon, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073697090.

Contact Information

Mrs Rebecca Patricia Fairly, CRNA
2500 N State St, Pfs,
Jackson, MS 39216-4500
(601) 984-4619
(601) 948-4657



Provider's Profile

Full NameMrs Rebecca Patricia Fairly
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073697090
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 12/21/2010

Medical Identifiers

Medical identifiers for Mrs Rebecca Patricia Fairly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073697090NPI-NPPES
00113607MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R594792 (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. Mrs Rebecca Patricia Fairly 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 AddressPractice Location Address
Mrs Rebecca Patricia Fairly, CRNA
109 Lake Hill Pl,
Brandon, MS 39047-8237

Ph: (601) 259-3217
Mrs Rebecca Patricia Fairly, CRNA
2500 N State St, Pfs,
Jackson, MS 39216-4500

Ph: (601) 984-4619

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› Verified 3 days ago


Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

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: Medicare Enrolled
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    

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