| Elaine J Randall, CRNA | |
|
2600 Greenbush St, Lafayette, IN 47904-2477 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Elaine J Randall |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2600 Greenbush St, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740357508 | NPI | - | NPPES |
| 200974200 | Medicaid | IN | |
| 000000640369 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA2072 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28187658A (Indiana) | Primary |
| Entity Name | Om P. Chaurasia, Md, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932232576 PECOS PAC ID: 8123216884 Enrollment ID: O20101221001169 |
| Entity Name | Amsurg South Bay Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811230022 PECOS PAC ID: 4082853411 Enrollment ID: O20130617000101 |
| Entity Name | Professional Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932742905 PECOS PAC ID: 4385070549 Enrollment ID: O20200206000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine J Randall, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Elaine J Randall, CRNA 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Roger E. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Rhiannon H Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Autumn M Swann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
James M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Dora Renee Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Jeffrey Hood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Brianne Nicole Caniglia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |