| Mr Carlos A Broussard, CRNA | |
|
600 N Lewis St, New Iberia, LA 70560 | |
| (337) 365-3168 | |
| (337) 369-3536 |
| Full Name | Mr Carlos A Broussard |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 600 N Lewis St, New Iberia, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861588667 | NPI | - | NPPES |
| 1623393 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 04660 (Louisiana) | Primary |
| Entity Name | Hospital Service District No. 1 of Iberia Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780690180 PECOS PAC ID: 4688659188 Enrollment ID: O20040621000102 |
| 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 |
|---|---|
| Mr Carlos A Broussard, CRNA Po Box 52533, Lafayette, LA 70505 Ph: (337) 365-3168 | Mr Carlos A Broussard, CRNA 600 N Lewis St, New Iberia, LA 70560 Ph: (337) 365-3168 |
Mr. Jay Howard Seymour, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 N Lewis St, New Iberia, LA 70563 Phone: 337-365-3168 Fax: 337-369-3536 |
Karly C Haik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Lucerne Dr, 3m Anesthesia, Llc, New Iberia, LA 70563 Phone: 337-374-7632 |
Christa Hardy Swiger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Andre St, Suite 300, New Iberia, LA 70563 Phone: 337-364-9225 Fax: 337-364-6094 |
Charlie Joseph Begnaud, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-374-7104 Fax: 337-374-7641 |
James D Dauzart Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 Andre St Ste 300, New Iberia, LA 70563 Phone: 225-229-3407 Fax: 337-330-2245 |
Jean M Karpan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Andre St Ste 300, New Iberia, LA 70563 Phone: 337-364-9225 Fax: 337-364-6094 |
Justin P Arnold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 N Lewis St, New Iberia, LA 70563 Phone: 337-374-4144 |