| Andrew William La Brucherie, CRNA | |
|
1800 N California St, Stockton, CA 95204-6019 | |
| (209) 943-2000 | |
| Not Available |
| Full Name | Andrew William La Brucherie |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1800 N California St, Stockton, California |
| 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 |
|---|---|---|---|
| 1154069284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95072796 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001813 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernardine Medical Center | San bernardino, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Springs Anesthesia Services Pc | 6406049592 | 78 |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew William La Brucherie, CRNA 3804 Lark Haven Ct, Stockton, CA 95219-2550 Ph: (760) 791-6679 | Andrew William La Brucherie, CRNA 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 943-2000 |
Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000 | |
Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749 | |
Khang Do, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316 | |
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321 | |
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 | |
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 | |
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556 |