| Calvin Luke Ivie, CRNA | |
|
211 4th St, Alexandria, LA 71301-8421 | |
| (318) 442-5399 | |
| (318) 442-1586 |
| Full Name | Calvin Luke Ivie |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 211 4th St, Alexandria, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104696574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 234279 (Louisiana) | Primary |
| Entity Name | Mid-louisiana Anesthesia Consultants, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888914 PECOS PAC ID: 3971408733 Enrollment ID: O20031204000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Luke Ivie, CRNA Po Box 5887, Alexandria, LA 71307-5887 Ph: (318) 442-5399 | Calvin Luke Ivie, CRNA 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 442-5399 |
Elizabeth A Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Clinton D Sellers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St # 30135, Alexandria, LA 71301 Phone: 318-448-4440 Fax: 318-473-4340 | |
Jeffery E Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-769-3000 | |
Todd C Antony, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-473-3000 | |
Donna K Moreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Rene Dejean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Matthew J Meynard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 |