| Dr Trace M Juneau, CRNA | |
|
201 Mable St, Thibodaux, LA 70301-4013 | |
| (985) 859-0884 | |
| Not Available |
| Full Name | Dr Trace M Juneau |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 201 Mable St, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841801545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 230430 (Louisiana) | Primary |
| Entity Name | Thibodaux Laser And Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275535148 PECOS PAC ID: 5991795486 Enrollment ID: O20040517000339 |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trace M Juneau, CRNA 201 Mable St, Thibodaux, LA 70301-4013 Ph: () - | Dr Trace M Juneau, CRNA 201 Mable St, Thibodaux, LA 70301-4013 Ph: (985) 859-0884 |
Vicky L Vilcan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4750 | |
Deborah B Landry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4750 | |
Christopher Kimble, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 Fax: 985-449-2535 | |
Mr. Lloyd Francis Ledet Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4750 | |
Richard Lloyd Hargett Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4750 | |
James Morvant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1101 Audubon Ave, Suite S4, Thibodaux, LA 70301 Phone: 985-447-7246 Fax: 985-446-7614 | |
Christopher Wayne Chaisson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4511 |