Mr Dane Matthew Rodriguez, CRNA | |
6300 Main St, Zachary, LA 70791-4037 | |
(225) 658-4337 | |
(225) 658-4181 |
Full Name | Mr Dane Matthew Rodriguez |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 6300 Main St, Zachary, 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 |
---|---|---|---|
1154690436 | NPI | - | NPPES |
2182081 | Medicaid | LA | |
07674505 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 121003 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1210036736 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Womans Hospital | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana Anesthesiology Group L.l.c. | 6507758505 | 32 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Louisiana Anesthesiology Group L.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902957103 PECOS PAC ID: 6507758505 Enrollment ID: O20040325001171 |
Entity Name | Anesthesia Consultants Of The South Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881656833 PECOS PAC ID: 1658355003 Enrollment ID: O20040623000325 |
Entity Name | Total Anesthesia Care Stph Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
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 | Parish Anesthesia Of Tulane |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588998231 PECOS PAC ID: 5496897753 Enrollment ID: O20100125000469 |
Entity Name | Parish Anesthesia Of St. Bernard, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417202904 PECOS PAC ID: 8820245830 Enrollment ID: O20120827000712 |
Mailing Address | Practice Location Address |
---|---|
Mr Dane Matthew Rodriguez, CRNA 8946 Interline Ave, Suite C, Baton Rouge, LA 70809-1913 Ph: (225) 923-0030 | Mr Dane Matthew Rodriguez, CRNA 6300 Main St, Zachary, LA 70791-4037 Ph: (225) 658-4337 |
Mr. Gerald Pedersen, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4000 | |
James Chustz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4000 Fax: 225-658-4274 | |
Frank Baxter Ragsdale, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4437 Fax: 225-658-4181 |