| Dustin Cole Broussard, CRNA | |
|
312 Grammont St Ste 100, Monroe, LA 71201-7457 | |
| (318) 998-6129 | |
| Not Available |
| Full Name | Dustin Cole Broussard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 312 Grammont St Ste 100, Monroe, 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 |
|---|---|---|---|
| 1407151913 | NPI | - | NPPES |
| 125633 | Medicaid | AL | |
| P00924079 | Other | RAILROAD MEDICARE | |
| 592-13560 | Other | AL | BLUE CROSS BLUE SHIELD |
| Y06R8 | Other | FL | BLUE CROSS BLUE SHIELD |
| 003203300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9306451 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP06688 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zephyr Anesthesia Llc | 1658559125 | 142 |
| 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 | Iasis Glenwood Regional Medical Center Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487706214 PECOS PAC ID: 9032212170 Enrollment ID: O20070808000339 |
| Entity Name | Arklamiss Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215136999 PECOS PAC ID: 9638252224 Enrollment ID: O20080205000515 |
| Entity Name | Arena Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023244779 PECOS PAC ID: 4385795319 Enrollment ID: O20090702000042 |
| Entity Name | Endoscopy Center Of Monroe |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1417957796 PECOS PAC ID: 3173666120 Enrollment ID: O20100130000072 |
| Entity Name | Bayou Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528365947 PECOS PAC ID: 0648456095 Enrollment ID: O20110519000054 |
| 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 | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Minden Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710456736 PECOS PAC ID: 1355687757 Enrollment ID: O20190107000024 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230620003381 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Cole Broussard, CRNA Po Box 3185, Monroe, LA 71210-3185 Ph: (318) 998-6129 | Dustin Cole Broussard, CRNA 312 Grammont St Ste 100, Monroe, LA 71201-7457 Ph: (318) 998-6129 |
Kory M Gilbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Monroe, LA 71201 Phone: 318-998-6138 Fax: 318-998-6139 | |
Caley Worley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-626-0000 | |
Teresa Halley Willis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3421 Medical Park Dr, Monroe, LA 71203 Phone: 318-388-7890 | |
Kelley Goodman Frankowicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Lora Cullipher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6138 | |
Heather Dianne Duty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 312 Grammont St Ste 101, Monroe, LA 71201 Phone: 318-998-6129 | |
Marti Melinda Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr., Monroe, LA 71203 Phone: 318-388-7890 |