| Matthew K Desormeaux, CRNA | |
|
8212 Summa Ave, Baton Rouge, LA 70809-3421 | |
| (225) 769-4403 | |
| (225) 769-3842 |
| Full Name | Matthew K Desormeaux |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 8212 Summa Ave, Baton Rouge, 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 |
|---|---|---|---|
| 1770747339 | NPI | - | NPPES |
| RN105069 | Other | LA | STATE RN LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN105069 AP05490 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, 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 |
| 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 |
|---|---|
| Matthew K Desormeaux, CRNA 8212 Summa Ave, Baton Rouge, LA 70809-3421 Ph: (225) 769-4403 | Matthew K Desormeaux, CRNA 8212 Summa Ave, Baton Rouge, LA 70809-3421 Ph: (225) 769-4403 |
Toni Tolar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8325 Kelwood Ave, Baton Rouge, LA 70806 Phone: 225-929-7600 Fax: 225-930-7524 | |
Holli B Cordell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-769-4403 Fax: 225-769-4403 | |
Amy Martin Mcmillan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808 Phone: 225-214-6438 | |
Mrs. Courtney Day Passman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-765-3111 Fax: 225-765-3114 | |
Denise N Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842 | |
Kaley Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-8541 | |
Lindsay Jones, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Womans Way, Baton Rouge, LA 70817 Phone: 225-927-1300 |