Kenneth Joseph Waddell, in Lake Charles, LA - Medicare Nurse Anesthetist, Certified Registered

Kenneth Joseph Waddell, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Charles, Louisiana. His current practice location is 1701 Oak Park Blvd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-3000.

Kenneth Joseph Waddell is licensed to practice in Louisiana (license number 234093) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912761768.

Contact Information

	Kenneth Joseph Waddell,
	1701 Oak Park Blvd, Lake Charles, LA 70601-8911
	(337) 494-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Joseph Waddell
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1701 Oak Park Blvd, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912761768
Provider Enumeration Date: 02/12/2024
Last Update Date: 02/24/2024

Medicare PECOS Information:

PECOS PAC ID: 3577902782
Enrollment ID: I20240422001019

Medical Identifiers

Medical identifiers for Kenneth Joseph Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912761768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	234093 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Joseph Waddell allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Joseph Waddell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Joseph Waddell, 2305 Pinewood Dr S, Lake Charles, LA 70607-7522 Ph: (337) 764-5751	Kenneth Joseph Waddell, 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 Ph: (337) 494-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lake Charles, LA

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

Kenneth Joseph Waddell, - Medicare Nurse Anesthetist, Certified Registered in Lake Charles, LA