Travis Husser, CRNA | |
1585 3rd St, Fort Polk, LA 71459-5102 | |
(985) 981-6455 | |
Not Available |
Full Name | Travis Husser |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1585 3rd St, Fort Polk, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871161026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 214908 (Louisiana) | Primary |
Entity Name | Perioperative Services Of Mississippi, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
Mailing Address | Practice Location Address |
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Travis Husser, CRNA 59550 Easley Dairy Ln, Amite, LA 70422-3769 Ph: () - | Travis Husser, CRNA 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (985) 981-6455 |
Anthony Wendell Marcukaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 Third St, Fort Polk, LA 71459 Phone: 337-531-3517 | |
Molly Black, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 210-862-9692 | |
Mr. Douglas Anthony Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, LA 71459 Phone: 337-531-3344 | |
Douglas Tortella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 | |
Mr. Raymond James Devlin Iii, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459 Phone: 337-537-5375 | |
Marshall Glenister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 254-760-9499 |