John Shane Mallett, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Lake Charles, Louisiana. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sound Physicians Anesthesiology Of Texas Pllc and his current practice location is
751 Bayou Pines East Dr, Suite L, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 436-8700.
John Shane Mallett is licensed to practice in Texas (license number AP121182) 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 1306021282.
Physician's Profile
| Full Name | John Shane Mallett |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 17 Years |
|---|
| Location | 751 Bayou Pines East Dr, Lake Charles, Louisiana |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- John Shane Mallett graduated from medical school in 2007
NPI Data:
- NPI Number: 1306021282
- Provider Enumeration Date: 01/09/2008
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082799267
- Enrollment ID: I20170130000781
Medical Identifiers
Medical identifiers for John Shane Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306021282 | NPI | - | NPPES |
| 1035963 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | RN085277 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP121182 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sound Physicians Anesthesiology Of Texas Pllc | 1254751407 | 141 |
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. John Shane Mallett allows following entities to bill medicare on his behalf.
| Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295356277
PECOS PAC ID: 1254751407
Enrollment ID: O20201009000612 |
|---|
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. John Shane Mallett 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 Address | Practice Location Address |
|---|
John Shane Mallett, CRNA
751 Bayou Pines East Dr, Suite L,
Lake Charles, LA 70601-7196
Ph: (337) 436-8700 | John Shane Mallett, CRNA
751 Bayou Pines East Dr, Suite L,
Lake Charles, LA 70601-7196
Ph: (337) 436-8700 |
Reviews and Comments