| Kraig S De Lanzac, MD | |
|
1001 Gause Blvd, Slidell, LA 70458-2939 | |
| (985) 649-8767 | |
| Not Available |
| Full Name | Kraig S De Lanzac |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 1001 Gause Blvd, Slidell, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609879139 | NPI | - | NPPES |
| 1490075 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 10512R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Childrens Hospital Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
| Entity Name | Zephyr Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Kraig S De Lanzac, MD 120 Innwood Dr, Covington, LA 70433-9123 Ph: (985) 892-3225 | Kraig S De Lanzac, MD 1001 Gause Blvd, Slidell, LA 70458-2939 Ph: (985) 649-8767 |
Darren Patrick Ruiz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Casey Daste Reed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5082 | |
Dr. Jeffrey Travis Baker, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 106 Ayshire Ct, Slidell, LA 70461 Phone: 985-645-9420 Fax: 985-649-4063 | |
Dr. Elizabeth Young, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 504-842-4000 | |
Dr. Orlando J Salinas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 129 Lighthouse Pt, Slidell, LA 70458 Phone: 504-778-2984 | |
Matthew K Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Mi Mi Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Center Dr, Slidell, LA 70461 Phone: 985-898-7054 Fax: 985-661-3549 |