Jenna White, | |
1852 Valmont St, Mandeville, LA 70448-3857 | |
(512) 963-1635 | |
Not Available |
Full Name | Jenna White |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1852 Valmont St, Mandeville, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568098622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2022019007 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209026788 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Jenna White, 1852 Valmont St, Mandeville, LA 70448-3857 Ph: () - | Jenna White, 1852 Valmont St, Mandeville, LA 70448-3857 Ph: (512) 963-1635 |
John Peter Tobin Iii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Victoria Ln, Mandeville, LA 70471 Phone: 985-502-6609 | |
Raymond Chapman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1429 Lamarque St, Mandeville, LA 70448 Phone: 985-807-4511 | |
Miss Nicole Annee Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Greenleaves Blvd, Mandeville, LA 70448 Phone: 855-300-7525 | |
Paula G Fontana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 Saint Ann Dr, Suite 2, Mandeville, LA 70471 Phone: 985-727-7275 Fax: 985-727-7915 | |
Carolyn Applebaum, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 235 Saint Ann Dr, Mandeville, LA 70471 Phone: 985-727-7275 | |
Darryl Mark Lodato, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 235 Saint Ann Dr, Suite 2, Mandeville, LA 70471 Phone: 985-727-7275 Fax: 985-727-7915 |