| Jason Fontenot, MD | |
|
133 Park St, Malone, NY 12953-1244 | |
| (518) 483-3000 | |
| Not Available |
| Full Name | Jason Fontenot |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 133 Park St, Malone, New York |
| 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 |
|---|---|---|---|
| 1982607255 | NPI | - | NPPES |
| 1952117 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 021093 (Louisiana) | Secondary |
| 207L00000X | Anesthesiology | 292013 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Charles Anesthesiology, Apmc | 6800867714 | 24 |
| Entity Name | Lafourche Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
| Entity Name | Hospital Service District No. 1 Of Iberia Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780690180 PECOS PAC ID: 4688659188 Enrollment ID: O20040621000102 |
| Entity Name | Lake Charles Anesthesiology, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
| 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 |
| Entity Name | Jefferson Anesthesia Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639816374 PECOS PAC ID: 8820470057 Enrollment ID: O20220803003439 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Fontenot, MD Po Box 459, Opelousas, LA 70571-0459 Ph: (337) 943-7128 | Jason Fontenot, MD 133 Park St, Malone, NY 12953-1244 Ph: (518) 483-3000 |
Bernard Gelbard, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 Fax: 518-483-0860 | |
Jahangir M Hossen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 Fax: 518-483-0860 | |
David Cowles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-481-3000 Fax: 518-651-2130 | |
Mr. Joseph E. Robinson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 45 6th St, Malone, NY 12953 Phone: 518-481-8000 Fax: 518-481-8026 |