Mr Blake C Muller, RN / CRNA | |
15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 | |
(985) 230-2198 | |
(985) 230-2173 |
Full Name | Mr Blake C Muller |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 15790 Paul Vega Md Dr, Hammond, 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 |
---|---|---|---|
1922345446 | NPI | - | NPPES |
PENDING | Medicaid | LA |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Group Associates Inc | 0042110298 | 141 |
Diversified Professionals, Inc. | 0446356463 | 59 |
Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 169 |
Entity Name | Anesthesiology Group Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
Entity Name | The Capital City Anesthesia Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494 |
Entity Name | Diversified Professionals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
Mailing Address | Practice Location Address |
---|---|
Mr Blake C Muller, RN / CRNA Po Box 1609, Anesthesia Department, Hammond, LA 70404-1609 Ph: (985) 230-2198 | Mr Blake C Muller, RN / CRNA 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 Ph: (985) 230-2198 |
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 |