| Derek Leonard Hines, CRNA | |
|
636 Gause Blvd, Suite 200, Slidell, LA 70458-2007 | |
| (985) 641-8008 | |
| (985) 649-4063 |
| Full Name | Derek Leonard Hines |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 636 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 |
|---|---|---|---|
| 1841454956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP05510 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Anesthesia Care Stph Llc | 0749255909 | 57 |
| Entity Name | Northlake Anesthesiologists, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Leonard Hines, CRNA Po Box 3249, Slidell, LA 70459-3249 Ph: (985) 641-8008 | Derek Leonard Hines, CRNA 636 Gause Blvd, Suite 200, Slidell, LA 70458-2007 Ph: (985) 641-8008 |
Patrick M Fried, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Dr, Slidell, LA 70458 Phone: 985-641-8008 Fax: 985-649-4063 | |
Susan Jane Aycock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Geoffrey S Fendley, MSNA, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 | |
Christopher Trainor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 | |
Catherine Parmley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-892-3225 Fax: 985-234-0628 | |
Judith S. Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Catherine M Marrione, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 |