| Misty Boudreaux, | |
|
180 W Esplanade Ave, Kenner, LA 70065-2467 | |
| (504) 468-8600 | |
| Not Available |
| Full Name | Misty Boudreaux |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 180 W Esplanade Ave, Kenner, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023417722 | NPI | - | NPPES |
| 07984823 | Medicaid | MS | |
| 2373234 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP07975 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center-kenner | Kenner, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Boudreaux, 6875 West End Blvd, New Orleans, LA 70124 Ph: (504) 655-1012 | Misty Boudreaux, 180 W Esplanade Ave, Kenner, LA 70065-2467 Ph: (504) 468-8600 |
Angela W Kilbourn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 Fax: 504-842-2036 | |
Ms. Charlene V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5024 Toby Ln, Kenner, LA 70065 Phone: 504-456-9958 Fax: 504-779-6769 | |
Dana Pierce, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 | |
Jonah Parker Borskey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 | |
Micah J Metrailer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 | |
Rosalinda Garcia O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 |