| John Roussel, CRNA | |
|
3605 Northgate Ct, Ste 101, New Albany, IN 47150-6400 | |
| (812) 944-4263 | |
| (812) 944-1166 |
| Full Name | John Roussel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 3605 Northgate Ct, New Albany, Indiana |
| 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 |
|---|---|---|---|
| 1659365658 | NPI | - | NPPES |
| 200363700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28152575A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 47452 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Universal Anesthesia Services Llc | 9830268341 | 60 |
| Louisville Anesthesia Provision Llc | 2567533839 | 21 |
| Louisville Anesthesia Provision Llc | 2567533839 | 21 |
| Entity Name | Universal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164696282 PECOS PAC ID: 9830268341 Enrollment ID: O20080522000569 |
| Entity Name | Lec Ancillary Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982917365 PECOS PAC ID: 0345364725 Enrollment ID: O20100908000467 |
| Entity Name | Providian Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20190614000874 |
| Mailing Address | Practice Location Address |
|---|---|
| John Roussel, CRNA 6601 Arbor Ridge Dr, Crestwood, KY 40014-7745 Ph: (502) 931-9962 | John Roussel, CRNA 3605 Northgate Ct, Ste 101, New Albany, IN 47150-6400 Ph: (812) 944-4263 |
Ashley Henderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 812-944-7701 |