Derek J Deshotel, CRNA | |
211 4th St, Alexandria, LA 71301-8421 | |
(318) 473-3000 | |
Not Available |
Full Name | Derek J Deshotel |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 211 4th St, Alexandria, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235289539 | NPI | - | NPPES |
1674931 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 070004 (Louisiana) | Primary |
Entity Name | Anesthesiology Group Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
Entity Name | Lake Charles Anesthesiology, Apmc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
Entity Name | Lafayette Health Ventures Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
Entity Name | Lcms Cardiovascular Diseases, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285869370 PECOS PAC ID: 1951541515 Enrollment ID: O20130703000206 |
Mailing Address | Practice Location Address |
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Derek J Deshotel, CRNA 211 4th St, Box 30135, Alexandria, LA 71301-8421 Ph: (318) 448-8440 | Derek J Deshotel, CRNA 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 473-3000 |
Elizabeth A Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Clinton D Sellers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St # 30135, Alexandria, LA 71301 Phone: 318-448-4440 Fax: 318-473-4340 | |
Jeffery E Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-769-3000 | |
Todd C Antony, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-473-3000 | |
Donna K Moreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Rene Dejean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Matthew J Meynard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 |