Mr Brandon Heath Fontenot, CRNA | |
4150 Nelson Rd, A4, Lake Charles, LA 70605 | |
(337) 474-6353 | |
(337) 477-7616 |
Full Name | Mr Brandon Heath Fontenot |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4150 Nelson Rd, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316089162 | NPI | - | NPPES |
1478911 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN100667 (Louisiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AP04635 (Louisiana) | Secondary |
Entity Name | Surgical Anesthesia Of Baton Rouge, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316936974 PECOS PAC ID: 8022907070 Enrollment ID: O20040315001184 |
Entity Name | Lake Charles Anesthesiology, Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Brandon Heath Fontenot, CRNA 4150 Nelson Rd, A4, Lake Charles, LA 70605 Ph: (337) 474-6353 | Mr Brandon Heath Fontenot, CRNA 4150 Nelson Rd, A4, Lake Charles, LA 70605 Ph: (337) 474-6353 |
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 |