| Damon Fortenberry, CRNA | |
|
433 Plaza St, Bogalusa, LA 70427-3729 | |
| (985) 730-6700 | |
| (985) 730-6713 |
| Full Name | Damon Fortenberry |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 433 Plaza St, Bogalusa, 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 |
|---|---|---|---|
| 1790788214 | NPI | - | NPPES |
| 1107042 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN073334 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Our Lady Of The Angels Hospital | Bogalusa, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| Total Anesthesia Care Stph Llc | 0749255909 | 57 |
| Aec Physicians, Llc | 6305983214 | 7 |
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| 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 | Riverside Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982767166 PECOS PAC ID: 3173430196 Enrollment ID: O20040407000623 |
| Entity Name | Total Anesthesia Care Stph Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Summit Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225227556 PECOS PAC ID: 5698856821 Enrollment ID: O20080114000810 |
| Entity Name | Aec Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346574217 PECOS PAC ID: 6305983214 Enrollment ID: O20091027000035 |
| 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 |
| Entity Name | Gastroenterology Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699089581 PECOS PAC ID: 5890955264 Enrollment ID: O20130514000265 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Entity Name | Galleria Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962966796 PECOS PAC ID: 6507261740 Enrollment ID: O20210825003473 |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Fortenberry, CRNA 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Damon Fortenberry, CRNA 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6700 |
Henry Y Au, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa Medical Center, Bogalusa, LA 70427 Phone: 504-813-1539 | |
Rodrigo A Lopez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
David Michael Kalil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
Brian Douglas Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
Darryl G. Hughes, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6705 Fax: 985-730-7183 | |
Mr. Matthew Lamar Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 |