Timothy Gerald Breaux Jr, CRNA | |
2021 Perdido St, New Orleans, LA 70112-1352 | |
(504) 903-3370 | |
Not Available |
Full Name | Timothy Gerald Breaux Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2021 Perdido St, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770537136 | NPI | - | NPPES |
1153401 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN085125 (Louisiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AP04031 (Louisiana) | Secondary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Childrens Hospital Anesthesia Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
Entity Name | Medical Center Of Louisiana At New Orleans |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 6305732561 Enrollment ID: O20040224001335 |
Entity Name | Parish Anesthesia Of Jefferson, L.l.c |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508054560 PECOS PAC ID: 6608965975 Enrollment ID: O20071210000390 |
Entity Name | Parish Anesthesia Of Tulane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588998231 PECOS PAC ID: 5496897753 Enrollment ID: O20100125000469 |
Entity Name | Zephyr Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
Entity Name | University Medical Center Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
Mailing Address | Practice Location Address |
---|---|
Timothy Gerald Breaux Jr, CRNA 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (800) 242-1131 | Timothy Gerald Breaux Jr, CRNA 2021 Perdido St, New Orleans, LA 70112-1352 Ph: (504) 903-3370 |
Wendy Lynn Cambre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 | |
Lyndsey Launa Martin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 | |
Harold Stevenson Mustin Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3370 Fax: 504-897-7008 | |
Lisa Battley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Paige Crespo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Stephen Michael Kelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3370 | |
Ashlee Babst, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-875-9750 |