| John Shane Mallett, CRNA | |
|
751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 | |
| (337) 436-8700 | |
| (337) 436-3008 |
| Full Name | John Shane Mallett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 751 Bayou Pines East Dr, Lake Charles, 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 |
|---|---|---|---|
| 1306021282 | NPI | - | NPPES |
| 1035963 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP121182 (Texas) | Primary |
| 207L00000X | Anesthesiology | RN085277 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Los Anesthesia Services Llc | 0345760666 | 10 |
| Entity Name | Eunice Anesthesiology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386681278 PECOS PAC ID: 2365430758 Enrollment ID: O20040504001163 |
| Entity Name | Lafayette Health Ventures Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
| 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 | Los Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508687419 PECOS PAC ID: 0345760666 Enrollment ID: O20250217003088 |
| Mailing Address | Practice Location Address |
|---|---|
| John Shane Mallett, CRNA 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 Ph: (337) 436-8700 | John Shane Mallett, CRNA 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 Ph: (337) 436-8700 |
Mr. Leslie B Free, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Road, A-4, Lake Charles, LA 70605 Phone: 337-478-2124 Fax: 337-477-7616 |
Hannah Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Locke Ln Lot 3, Lake Charles, LA 70605 Phone: 337-540-8547 |
Jeffrey Paul Allain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 |
Mr. Michael Shelton Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lsu W O Moss Regional Medical Center, Lake Charles, LA 70607 Phone: 337-475-8333 |
Mr. Robert Geise Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616 |
Jordan Daughenbaugh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 W Gauthier Rd, Lake Charles, LA 70605 Phone: 337-480-7000 |
Mr. Randall Dale Biggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616 |