| Laurie Daste, | |
|
1514 Jefferson Hwy, Jefferson, LA 70121 | |
| (504) 268-3673 | |
| Not Available |
| Full Name | Laurie Daste |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 1514 Jefferson Hwy, Jefferson, 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 |
|---|---|---|---|
| 1114269990 | NPI | - | NPPES |
| 2334123 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD.207436 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Touro Infirmary | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Daste, Po Box 919211, Dallas, TX 75391-9211 Ph: (866) 214-8600 | Laurie Daste, 1514 Jefferson Hwy, Jefferson, LA 70121 Ph: (504) 268-3673 |
Jordan Skye Renschler, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1401a Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-1200 | |
Dr. Nicholas John Marrazzo, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Andrew Paul Mullet, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Amanda Vining, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 866-624-7637 | |
Alexis Richards, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 | |
Megan Harmon, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |