Jacob D Ryan, CRNA | |
424 W Mcneese St, Lake Charles, LA 70605-5547 | |
(337) 478-0511 | |
(337) 478-5660 |
Full Name | Jacob D Ryan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 424 W Mcneese St, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538211206 | NPI | - | NPPES |
391870ZMJF | Other | LA | MEDICARE PTAN |
1438057 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN075556 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lcms Cardiovascular Diseases, Llc | 1951541515 | 30 |
Entity Name | Lake Charles Anesthesiology, Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
Entity Name | Lafayette General Endoscopy Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376828202 PECOS PAC ID: 9335162486 Enrollment ID: O20111017000062 |
Entity Name | Lcms Cardiovascular Diseases, Llc |
---|---|
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 |
---|---|
Jacob D Ryan, CRNA 424 W Mcneese St, Lake Charles, LA 70605-5547 Ph: (337) 478-0511 | Jacob D Ryan, CRNA 424 W Mcneese St, Lake Charles, LA 70605-5547 Ph: (337) 478-0511 |
Mr. Leslie B Free, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Road, A-4, Lake Charles, LA 70605 Phone: 337-478-2124 Fax: 337-477-7616 | |
Mr. Michael Shelton Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lsu W O Moss Regional Medical Center, Lake Charles, LA 70607 Phone: 337-475-8333 | |
Mr. Robert Geise Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616 | |
Jordan Daughenbaugh, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 W Gauthier Rd, Lake Charles, LA 70605 Phone: 337-480-7000 | |
Mr. Randall Dale Biggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616 | |
Carl G Mallett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1128 Hidden Oak Ln, Lake Charles, LA 70605 Phone: 337-478-1085 | |
Nathaniel J Dennis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Suite L, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644 |