| Mark E Spence, CRNA | |
|
8166 Main Street, Houma, LA 70360 | |
| (985) 873-4141 | |
| (985) 851-4307 |
| Full Name | Mark E Spence |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8166 Main Street, Houma, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124092200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA213080 (Maine) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 04897201471 (Louisiana) | Primary |
| 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 |
| Entity Name | Physician Practice Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326598434 PECOS PAC ID: 4183909740 Enrollment ID: O20170321002664 |
| Entity Name | Paeon Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568985612 PECOS PAC ID: 1153697727 Enrollment ID: O20171026000630 |
| Entity Name | Anesthesia Associates of Bayou Region LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679157887 PECOS PAC ID: 7416357934 Enrollment ID: O20210621000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Spence, CRNA Po Box 6037, Houma, LA 70361-6037 Ph: (985) 873-4235 | Mark E Spence, CRNA 8166 Main Street, Houma, LA 70360 Ph: (985) 873-4141 |
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 |
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 |
Thomas P Champagne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8166 Main St, Houma, LA 70361 Phone: 985-873-4235 Fax: 985-851-4307 |