Casey Richardson, | |
5220 Essen Ln, Baton Rouge, LA 70809-3542 | |
(318) 334-3432 | |
Not Available |
Full Name | Casey Richardson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5220 Essen Ln, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376222406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 205867 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 205867 (Louisiana) | Primary |
Entity Name | Smso Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054 |
Mailing Address | Practice Location Address |
---|---|
Casey Richardson, 5220 Essen Ln, Baton Rouge, LA 70809-3542 Ph: (318) 334-3432 | Casey Richardson, 5220 Essen Ln, Baton Rouge, LA 70809-3542 Ph: (318) 334-3432 |
Toni Tolar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8325 Kelwood Ave, Baton Rouge, LA 70806 Phone: 225-929-7600 Fax: 225-930-7524 | |
Holli B Cordell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-769-4403 Fax: 225-769-4403 | |
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Denise N Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842 | |
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