| Douglas Tortella, CRNA | |
|
1585 3rd St, Fort Polk, LA 71459-5102 | |
| (337) 531-3011 | |
| Not Available |
| Full Name | Douglas Tortella |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1585 3rd St, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164459459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | L6-0A00337 (Delaware) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00254800 (New Jersey) | Secondary |
| Entity Name | Mid-atlantic Anesthesia Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486508 PECOS PAC ID: 3779496047 Enrollment ID: O20031112000103 |
| Entity Name | West Jersey Anesthesia Associate PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609861947 PECOS PAC ID: 6507859386 Enrollment ID: O20040407000191 |
| Entity Name | Shrewsbury Ambulatory Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356691885 PECOS PAC ID: 4385899962 Enrollment ID: O20130305000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Tortella, CRNA 2006 Limestone Rd, Suite 5, Wilmington, DE 19808-5553 Ph: (302) 995-1860 | Douglas Tortella, CRNA 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3011 |
Anthony Wendell Marcukaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 Third St, Fort Polk, LA 71459 Phone: 337-531-3517 |
Laura Payton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-718-2889 |
Molly Black, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 210-862-9692 |
Michael David Smithers, CRNA, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Bayne-jones Army Community Hospital, 1585 Third St, Fort Polk, LA 71459 Phone: 808-321-2748 |
Mr. Raymond James Devlin Iii, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459 Phone: 337-537-5375 |
Travis Husser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 985-981-6455 |
Mr. John William Roy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3341 |