John Shane Mallett, CRNA in Lake Charles, LA - Medicare Certified Registered Nurse Anesthetist (crna)

John Shane Mallett, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Lake Charles, Louisiana. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sound Physicians Anesthesiology Of Texas Pllc and his current practice location is 751 Bayou Pines East Dr, Suite L, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 436-8700.

John Shane Mallett is licensed to practice in Texas (license number AP121182) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306021282.

Contact Information

	John Shane Mallett, CRNA
	751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196
	(337) 436-8700
	(337) 436-3008

Map and Direction

Physician's Profile

Full Name	John Shane Mallett
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	751 Bayou Pines East Dr, Lake Charles, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Shane Mallett graduated from medical school in 2007

NPI Data:

NPI Number: 1306021282
Provider Enumeration Date: 01/09/2008
Last Update Date: 12/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4082799267
Enrollment ID: I20170130000781

Medical Identifiers

Medical identifiers for John Shane Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306021282	NPI	-	NPPES
1035963	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	RN085277 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP121182 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Medical Center Of Southeast Texas	Port arthur, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sound Physicians Anesthesiology Of Texas Pllc	1254751407	162

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Shane Mallett allows following entities to bill medicare on his behalf.

Entity Name	Sound Physicians Anesthesiology Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Shane Mallett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John Shane Mallett, CRNA 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 Ph: (337) 436-8700	John Shane Mallett, CRNA 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 Ph: (337) 436-8700

John Shane Mallett, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lake Charles, LA