John Shane Mallett, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Lake Charles, Louisiana. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 751 Bayou Pines East Dr, Lake Charles, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Shane Mallett attended and graduated from in
NPI Data:
- NPI Number: 1306021282
- Provider Enumeration Date: 01/09/2008
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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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 |
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