| Matthew Richardson, CRNA | |
|
6300 Main St, Zachary, LA 70791-4037 | |
| (225) 658-4000 | |
| Not Available |
| Full Name | Matthew Richardson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 6300 Main St, Zachary, 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 |
|---|---|---|---|
| 1609384056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 216950 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dpi Of Louisiana Llc | 1456886365 | 69 |
| 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 | Dpi Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144083387 PECOS PAC ID: 1456886365 Enrollment ID: O20241130000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Richardson, CRNA 23155 Greenwell Springs Rd, Greenwell Springs, LA 70739-6015 Ph: () - | Matthew Richardson, CRNA 6300 Main St, Zachary, LA 70791-4037 Ph: (225) 658-4000 |
Mr. Gerald Pedersen, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4000 | |
James Chustz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4000 Fax: 225-658-4274 | |
Amy M Holstein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-659-4000 | |
Frank Baxter Ragsdale, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4437 Fax: 225-658-4181 |