| Mr Blake Cullom Muller, RN / CRNA | |
|
15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 | |
| (985) 230-2198 | |
| (985) 230-2173 |
| Full Name | Mr Blake Cullom Muller |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 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 |
|---|---|---|---|
| 1922345446 | NPI | - | NPPES |
| PENDING | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Group Associates Inc | 0042110298 | 134 |
| Childrens Hospital Anesthesia Corporation | 0446152862 | 225 |
| Dpi Of Louisiana Llc | 1456886365 | 52 |
| Ans Services Of Arkansas Pa | 4486002599 | 55 |
| Animas Surgical Hospital Llc | 0143295428 | 52 |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
| Entity Name | Anesthesiology Group Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
| Entity Name | The Capital City Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245282466 PECOS PAC ID: 1658272844 Enrollment ID: O20040120000494 |
| Entity Name | Childrens Hospital Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
| Entity Name | Diversified Professionals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
| Entity Name | Letheon Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619543055 PECOS PAC ID: 0244636827 Enrollment ID: O20210907002440 |
| 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 |
|---|---|
| Mr Blake Cullom Muller, RN / CRNA Po Box 1609, Anesthesia Department, Hammond, LA 70404-1609 Ph: (985) 230-2198 | Mr Blake Cullom Muller, RN / CRNA 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 Ph: (985) 230-2198 |
Mark Edwin Koepp, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-6685 Fax: 985-230-2173 | |
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 |