Mr Kevin Lee Gatlin, CRNA | |
12393 Old Millstone Dr, Geismar, LA 70734-3238 | |
(225) 673-1736 | |
Not Available |
Full Name | Mr Kevin Lee Gatlin |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12393 Old Millstone Dr, Geismar, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083605372 | NPI | - | NPPES |
1467341 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 96106 (Louisiana) | Primary |
Entity Name | Anesthesiology Affiliates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
Entity Name | Zephyr Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
Entity Name | Kja Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942543400 PECOS PAC ID: 0345482097 Enrollment ID: O20130809000265 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Lee Gatlin, CRNA 12393 Old Millstone Dr, Geismar, LA 70734-3238 Ph: (225) 673-1736 | Mr Kevin Lee Gatlin, CRNA 12393 Old Millstone Dr, Geismar, LA 70734-3238 Ph: (225) 673-1736 |
Mrs. Tara Blake Comardelle, CRNA, MNNA, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12293 Old Millstone Dr., Geismar, LA 70734 Phone: 407-748-3405 |