Jordan Daughenbaugh, in Lake Charles, LA - Medicare Nurse Anesthetist, Certified Registered

Jordan Daughenbaugh, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Charles, Louisiana. His current practice location is 1900 W Gauthier Rd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 480-7000.

Jordan Daughenbaugh is licensed to practice in Louisiana (license number AP08289) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083097034.

Contact Information

	Jordan Daughenbaugh,
	1900 W Gauthier Rd, Lake Charles, LA 70605-7170
	(337) 480-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Daughenbaugh
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1900 W Gauthier Rd, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083097034
Provider Enumeration Date: 07/08/2015
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 9931480258
Enrollment ID: I20161228002076

Medical Identifiers

Medical identifiers for Jordan Daughenbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083097034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP08289 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Daughenbaugh allows following entities to bill medicare on his behalf.

Entity Name	Lake Charles Anesthesiology, Apmc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651

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	Apollo Medical Group Of Lake Charles Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356063861 PECOS PAC ID: 0143690909 Enrollment ID: O20230112001320

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Daughenbaugh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jordan Daughenbaugh, 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 Ph: (337) 480-7000	Jordan Daughenbaugh, 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 Ph: (337) 480-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lake Charles, LA

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
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: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616
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
Carl G Mallett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1128 Hidden Oak Ln, Lake Charles, LA 70605 Phone: 337-478-1085
Nathaniel J Dennis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Suite L, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644

Jordan Daughenbaugh, - Medicare Nurse Anesthetist, Certified Registered in Lake Charles, LA