| Mark Edwin Koepp, RN, CRNA | |
|
15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | |
| (985) 230-6685 | |
| (985) 230-2173 |
| Full Name | Mark Edwin Koepp |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 15790 Paul Vega Md Dr, Hammond, 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 |
|---|---|---|---|
| 1023072337 | NPI | - | NPPES |
| 430072262 | Other | RR MEDICARE# | |
| 1105490 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP03823 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Foundation Hospital | Franklin, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youngs Professional Services Llc | 2163524992 | 218 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Edwin Koepp, RN, CRNA Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-6685 | Mark Edwin Koepp, RN, CRNA 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 Ph: (985) 230-6685 |
August J Klohn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 42570 S Airport Rd, Hammond, LA 70403 Phone: 985-510-6135 Fax: 985-510-6202 | |
Emmy Beatty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 42144 Veterans Ave, Hammond, LA 70403 Phone: 985-542-6344 | |
Katrina A Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Medical Center Drive, Hammond, LA 70403 Phone: 985-345-2700 | |
Brandy S. Mccullough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-2198 Fax: 985-230-2159 | |
Melanie Stevens Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2159 | |
Kathryn Anne Gary, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2159 |