Jacob Irion Richard, CRNA | |
1978 Industrial Blvd, Houma, LA 70363-7055 | |
(985) 873-2200 | |
Not Available |
Full Name | Jacob Irion Richard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1978 Industrial Blvd, Houma, 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 |
---|---|---|---|
1649400755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP05864 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thibodaux Laser And Surgery Center, Llc | 5991795486 | 6 |
Thibodaux Regional Network Development Corporation | 8224011754 | 99 |
Entity Name | Thibodaux Laser And Surgery Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275535148 PECOS PAC ID: 5991795486 Enrollment ID: O20040517000339 |
Entity Name | Lafourche Parish Hospital Service District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
Entity Name | Thibodaux Regional Network Development Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
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 | Anesthesiology Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
Entity Name | Thibodaux Endoscopy Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1831167329 PECOS PAC ID: 6406997451 Enrollment ID: O20100113000076 |
Mailing Address | Practice Location Address |
---|---|
Jacob Irion Richard, CRNA 131 Cinclare Dr, Thibodaux, LA 70301-8083 Ph: (985) 447-4102 | Jacob Irion Richard, CRNA 1978 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 873-2200 |
Mr. Ryan Michael Coyne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-850-6137 Fax: 985-873-3789 | |
Kristen Leigh Walker, SRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 207 Wellington Dr, Houma, LA 70360 Phone: 985-226-3886 | |
Mr. Michael Johnson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-873-4141 | |
Francis Elliot Lewis I, CRN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1978 Industrial Blvd, Houma, LA 70363 Phone: 985-873-2200 | |
Mark E Spence, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Susan V Gremillion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Ms. Jeanne Margaret Breaux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 218 Corporate Drive, Houma, LA 70360 Phone: 985-853-1340 Fax: 985-853-1470 |