Matthew Venable, | |
24141 Greenwell Springs Rd, Greenwell Springs, LA 70739-6024 | |
(225) 274-5567 | |
Not Available |
Full Name | Matthew Venable |
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Gender | Male |
Speciality | Registered Nurse |
Location | 24141 Greenwell Springs Rd, Greenwell Springs, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649959776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN160866 (Louisiana) | Primary |
Entity Name | The Capital City Anesthesia Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494 |
Mailing Address | Practice Location Address |
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Matthew Venable, 24141 Greenwell Springs Rd, Greenwell Springs, LA 70739-6024 Ph: (225) 274-5567 | Matthew Venable, 24141 Greenwell Springs Rd, Greenwell Springs, LA 70739-6024 Ph: (225) 274-5567 |
Mrs. Jacqueline Juneau Milazzo, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7231 Frontier Dr, Greenwell Springs, LA 70739 Phone: 225-315-6933 | |
Mrs. Sharon R Fontenot, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17756 Lake Vista Dr, Greenwell Springs, LA 70739 Phone: 225-205-0934 | |
Christina Richardson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 27661 Alphonse Ln, Greenwell Springs, LA 70739 Phone: 225-301-9528 | |
Mrs. Brandi Watts, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10633 Stone Pine Dr, Greenwell Springs, LA 70739 Phone: 225-302-7846 | |
Casey Watts, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13035 Bridlewood Dr, Greenwell Springs, LA 70739 Phone: 225-241-0923 | |
Vernita Hardy, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6520 Bryce Canyon Dr S, Greenwell Springs, LA 70739 Phone: 225-261-4791 |