Mr Nicholas Paul Broussard, CRNA | |
5113 La Premiere Dr, Maurice, LA 70555-3764 | |
(337) 278-0037 | |
Not Available |
Full Name | Mr Nicholas Paul Broussard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 5113 La Premiere Dr, Maurice, 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 |
---|---|---|---|
1578755104 | NPI | - | NPPES |
1315397 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN108764 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP05366 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Abbeville General Hospital | Abbeville, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversified Professionals, Inc. | 0446356463 | 59 |
Abbeville General Hospital | 5395641955 | 7 |
Entity Name | Abbeville General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780616094 PECOS PAC ID: 5395641955 Enrollment ID: O20031212000345 |
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 | 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 | Doctors Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619100807 PECOS PAC ID: 8729079322 Enrollment ID: O20091102000032 |
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 | Precision Anesthesia Of Lafayette Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285117879 PECOS PAC ID: 2860746351 Enrollment ID: O20181120001221 |
Entity Name | Jefferson Anesthesia Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639816374 PECOS PAC ID: 8820470057 Enrollment ID: O20220803003439 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Paul Broussard, CRNA 5113 La Premiere Dr, Maurice, LA 70555-3764 Ph: (337) 278-0037 | Mr Nicholas Paul Broussard, CRNA 5113 La Premiere Dr, Maurice, LA 70555-3764 Ph: (337) 278-0037 |