Tripp A Derouen, CRNA | |
755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | |
(409) 838-5214 | |
(409) 838-1946 |
Full Name | Tripp A Derouen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 755 N 11th St, Beaumont, Texas |
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 |
---|---|---|---|
1255578977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 763620 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Louisiana Surgical Hospital | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Youngs Professional Services Llc | 2163524992 | 148 |
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 |
Mailing Address | Practice Location Address |
---|---|
Tripp A Derouen, CRNA 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 Ph: (409) 838-5214 | Tripp A Derouen, CRNA 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 Ph: (409) 838-5214 |
Mrs. Bonni Blue Stancoven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mrs. Ashley Lynn Billot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-838-5214 | |
Steven Chad Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 | |
Derek Chambless, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mr. Selby Reed Thames, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3600, Beaumont, TX 77702 Phone: 469-437-3564 Fax: 469-825-6903 | |
Thomas Maddox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Keli Ardoin Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P 3600, Beaumont, TX 77702 Phone: 409-838-5214 |