Mr Gerald Pedersen, CRNA | |
6300 Main St, Zachary, LA 70791-4037 | |
(225) 658-4000 | |
Not Available |
Full Name | Mr Gerald Pedersen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 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 |
---|---|---|---|
1093758716 | NPI | - | NPPES |
AN3110 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 23775 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 44332 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Spine Hospital Of Louisiana | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversified Professionals, Inc. | 0446356463 | 59 |
Nuedge Anesthesia Llc | 7911340575 | 14 |
Dpi Of Georgia Llc | 0941546923 | 36 |
Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 169 |
Entity Name | Hospital Service District No. 1 Of Iberia Parish |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780690180 PECOS PAC ID: 4688659188 Enrollment ID: O20040621000102 |
Entity Name | Riverside Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518918556 PECOS PAC ID: 3476527946 Enrollment ID: O20040820000805 |
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 |
Entity Name | Nuedge Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629759782 PECOS PAC ID: 7911340575 Enrollment ID: O20240210000211 |
Mailing Address | Practice Location Address |
---|---|
Mr Gerald Pedersen, CRNA 3617 Hyacinth Ave, Baton Rouge, LA 70808-2933 Ph: (225) 389-2928 | Mr Gerald Pedersen, CRNA 6300 Main St, Zachary, LA 70791-4037 Ph: (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 |