| Jacob Irion Richard, CRNA | |
|
1978 Industrial Blvd, Houma, LA 70363-7055 | |
| (985) 873-2200 | |
| Not Available |
| Full Name | Jacob Irion Richard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1978 Industrial Blvd, Houma, 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 |
|---|---|---|---|
| 1649400755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP05864 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thibodaux Laser And Surgery Center, Llc | 5991795486 | 6 |
| Thibodaux Regional Network Development Corporation | 8224011754 | 120 |
| 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 | Lafourche Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
| 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 | 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 | Anesthesiology Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
| 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 |
|---|---|
| Jacob Irion Richard, CRNA 131 Cinclare Dr, Thibodaux, LA 70301-8083 Ph: (985) 447-4102 | Jacob Irion Richard, CRNA 1978 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 873-2200 |
Mr. Ryan Michael Coyne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-850-6137 Fax: 985-873-3789 | |
Kristen Leigh Walker, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 207 Wellington Dr, Houma, LA 70360 Phone: 985-226-3886 | |
Mr. Michael Johnson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-873-4141 | |
Francis Elliot Lewis I, CRN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1978 Industrial Blvd, Houma, LA 70363 Phone: 985-873-2200 | |
Mark E Spence, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Susan V Gremillion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Ms. Jeanne Margaret Breaux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 218 Corporate Drive, Houma, LA 70360 Phone: 985-853-1340 Fax: 985-853-1470 |