| Crystal Trujillo, | |
|
4648 I-10 Service Road, Metairie, LA 70001 | |
| (505) 883-4800 | |
| Not Available |
| Full Name | Crystal Trujillo |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 4648 I-10 Service Road, Metairie, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679981658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD207158 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare Southeast | Pasadena, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Pathology Program Pllc | 3476956194 | 36 |
| Entity Name | Gulf Coast Pathology Program Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629643069 PECOS PAC ID: 3476956194 Enrollment ID: O20210719002395 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Trujillo, 15790 Paul Vega Dr, Laboratory Services, Hammond, LA 70403-1434 Ph: (985) 230-6165 | Crystal Trujillo, 4648 I-10 Service Road, Metairie, LA 70001 Ph: (505) 883-4800 |
Richard Douglas Demoss, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-545-5683 Fax: 504-456-8195 | |
Joan Theresa Hoffpauir, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 | |
Dr. Erin Nicole Vicknair, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Arthur Herman Reif, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Department Of Pathology, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Theresa Jeanne Nuttli, Pathology Medicare: Medicare Enrolled Practice Location: 520 Ridgewood Dr, Metairie, LA 70001 Phone: 504-460-0270 | |
Barry William Sartin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 S I 10 Service Rd W, Metairie, LA 70001 Phone: 504-883-4817 Fax: 504-883-4911 | |
Barry James Breaux, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 |