Dustin Cole Broussard, CRNA | |
312 Grammont St Ste 100, Monroe, LA 71201-7457 | |
(318) 998-6129 | |
Not Available |
Full Name | Dustin Cole Broussard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 312 Grammont St Ste 100, Monroe, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407151913 | NPI | - | NPPES |
125633 | Medicaid | AL | |
P00924079 | Other | RAILROAD MEDICARE | |
592-13560 | Other | AL | BLUE CROSS BLUE SHIELD |
Y06R8 | Other | FL | BLUE CROSS BLUE SHIELD |
003203300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN9306451 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP06688 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arena Anesthesia Llc | 4385795319 | 12 |
Orthomed Staffing Llc | 9638429178 | 252 |
Entity Name | Parish Anesthesia Of Monroe Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164474383 PECOS PAC ID: 7113914714 Enrollment ID: O20040427000499 |
Entity Name | Iasis Glenwood Regional Medical Center Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487706214 PECOS PAC ID: 9032212170 Enrollment ID: O20070808000339 |
Entity Name | Arklamiss Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215136999 PECOS PAC ID: 9638252224 Enrollment ID: O20080205000515 |
Entity Name | Arena Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023244779 PECOS PAC ID: 4385795319 Enrollment ID: O20090702000042 |
Entity Name | Endoscopy Center Of Monroe |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1417957796 PECOS PAC ID: 3173666120 Enrollment ID: O20100130000072 |
Entity Name | Bayou Anesthesia Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528365947 PECOS PAC ID: 0648456095 Enrollment ID: O20110519000054 |
Entity Name | Brfhh Monroe Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
Entity Name | Ams Louisiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306397005 PECOS PAC ID: 3577843671 Enrollment ID: O20161207000904 |
Entity Name | Minden Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710456736 PECOS PAC ID: 1355687757 Enrollment ID: O20190107000024 |
Entity Name | Orthomed Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230620003381 |
Mailing Address | Practice Location Address |
---|---|
Dustin Cole Broussard, CRNA Po Box 3185, Monroe, LA 71210-3185 Ph: (318) 998-6129 | Dustin Cole Broussard, CRNA 312 Grammont St Ste 100, Monroe, LA 71201-7457 Ph: (318) 998-6129 |
Kory M Gilbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Monroe, LA 71201 Phone: 318-998-6138 Fax: 318-998-6139 | |
Caley Pyles, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-626-0000 | |
Teresa Halley Willis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3421 Medical Park Dr, Monroe, LA 71203 Phone: 318-388-7890 | |
Kelley Goodman Frankowicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Lora Cullipher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6138 | |
Heather Dianne Duty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Marti Melinda Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr., Monroe, LA 71203 Phone: 318-388-7890 |