Randall E Wisenor, CRNA | |
203 Bayside Dr, West Monroe, LA 71291-8696 | |
(318) 396-1379 | |
Not Available |
Full Name | Randall E Wisenor |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 203 Bayside Dr, West Monroe, 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 |
---|---|---|---|
1134151186 | NPI | - | NPPES |
1673749 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN070478 (Louisiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | APO2815 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Lsu Health Monroe | Monroe, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brfhh Monroe Llc | 0042446577 | 15 |
Entity Name | Brfhh Monroe Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Randall E Wisenor, CRNA 203 Bayside Dr, West Monroe, LA 71291-8696 Ph: (318) 396-1379 | Randall E Wisenor, CRNA 203 Bayside Dr, West Monroe, LA 71291-8696 Ph: (318) 396-1379 |
Theresa Tarver Bacon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1416 Natchitoches St, West Monroe, LA 71292 Phone: 318-362-5430 | |
Daniel Todd Griffin, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 512-730-3060 Fax: 888-730-1925 | |
Latonya Jones, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 209 Mckeever St, West Monroe, LA 71292 Phone: 214-537-7777 | |
Cynthia Yvonne Mcdonald, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 301 Mcmillan Rd Unit 1, West Monroe, LA 71291 Phone: 318-737-7616 Fax: 318-855-5158 | |
Katelann Powell, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 116 Jerold Dr, West Monroe, LA 71291 Phone: 318-235-2875 | |
Valerie Boyd, Registered Nurse Medicare: Medicare Enrolled Practice Location: 108 Hidden Lakes Dr, West Monroe, LA 71291 Phone: 318-366-9946 |