Mr Benjamin Blair Gautreaux, CRNA in Hammond, LA - Medicare Nurse Anesthetist, Certified Registered

Mr Benjamin Blair Gautreaux, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hammond, Louisiana. His current practice location is 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 230-1682.

Mr Benjamin Blair Gautreaux is licensed to practice in Louisiana (license number AP06520) 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 1477841674.

Contact Information

	Mr Benjamin Blair Gautreaux, CRNA
	15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434
	(985) 230-1682
	(985) 230-1617

Map and Direction

Provider's Profile

Full Name	Mr Benjamin Blair Gautreaux
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	15790 Paul Vega Md Dr, Hammond, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477841674
Provider Enumeration Date: 07/21/2011
Last Update Date: 12/10/2013

Medicare PECOS Information:

PECOS PAC ID: 0547431975
Enrollment ID: I20230324000777

Medical Identifiers

Medical identifiers for Mr Benjamin Blair Gautreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477841674	NPI	-	NPPES
2157809	Medicaid	LA
AP06520	Other	LA	CRNA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP06520 (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. Mr Benjamin Blair Gautreaux allows following entities to bill medicare on his behalf.

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	Gastroenterology Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699089581 PECOS PAC ID: 5890955264 Enrollment ID: O20130514000265

Entity Name	Symvios Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427746619 PECOS PAC ID: 8729446521 Enrollment ID: O20230627002071

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. Mr Benjamin Blair Gautreaux 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
Mr Benjamin Blair Gautreaux, CRNA Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-2198	Mr Benjamin Blair Gautreaux, CRNA 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 Ph: (985) 230-1682

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hammond, LA

Mark Edwin Koepp, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-6685 Fax: 985-230-2173
August J Klohn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 42570 S Airport Rd, Hammond, LA 70403 Phone: 985-510-6135 Fax: 985-510-6202
Emmy Beatty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 42144 Veterans Ave, Hammond, LA 70403 Phone: 985-542-6344
Katrina A Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Medical Center Drive, Hammond, LA 70403 Phone: 985-345-2700
Brandy S. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-2198 Fax: 985-230-2159
Melanie Stevens Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2159
Jody Neal Domingue, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700

Mr Benjamin Blair Gautreaux, CRNA - Medicare Nurse Anesthetist, Certified Registered in Hammond, LA