| Gregory David Powell, CRNA | |
|
318 Braeburn Glen Dr, Minden, LA 71055-5798 | |
| (318) 245-1725 | |
| Not Available |
| Full Name | Gregory David Powell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 318 Braeburn Glen Dr, Minden, 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 |
|---|---|---|---|
| 1639400773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 083219 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minden Medical Center | Minden, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minden Anesthesia Llc | 1355687757 | 5 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory David Powell, CRNA 318 Braeburn Glen Dr, Minden, LA 71055-5798 Ph: (318) 245-1725 | Gregory David Powell, CRNA 318 Braeburn Glen Dr, Minden, LA 71055-5798 Ph: (318) 245-1725 |
Mr. Larry Joe Haley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-2321 Fax: 318-371-3219 | |
Philip Jake Killgore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-2321 | |
Mr. George Wayne Byram Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-2321 | |
Dean Boelter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-2321 |