| Mr Mark R Patin, CRNA | |
|
611 Saint Landry St, Lafayette, LA 70506-4627 | |
| (337) 289-2966 | |
| (337) 289-2776 |
| Full Name | Mr Mark R Patin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 611 Saint Landry St, Lafayette, 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 |
|---|---|---|---|
| 1083726582 | NPI | - | NPPES |
| 1108880 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 03821 (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 |
|---|---|---|
| Los Anesthesia Services Llc | 0345760666 | 8 |
| 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 | Sanford Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114267945 PECOS PAC ID: 0446473755 Enrollment ID: O20140513002036 |
| Entity Name | Precision Anesthesia Of Lafayette Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285117879 PECOS PAC ID: 2860746351 Enrollment ID: O20181120001221 |
| 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 |
|---|---|
| Mr Mark R Patin, CRNA Po Box 53864, Lafayette, LA 70505-3864 Ph: (337) 289-2966 | Mr Mark R Patin, CRNA 611 Saint Landry St, Lafayette, LA 70506-4627 Ph: (337) 289-2966 |
Charles L. Papadakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298 | |
Mr. Stephen Kyle Chauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 314 Youngsville Hwy, Lafayette, LA 70508 Phone: 337-706-1500 | |
Brittany Dibetta Belk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Republic Ave, Apt 6105, Lafayette, LA 70508 Phone: 504-451-4464 | |
Paula L. Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 | |
Mr. Bowen J Landry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Saint Landry St, Lafayette, LA 70506 Phone: 337-289-2966 Fax: 337-289-2776 | |
Dexter Paul Guidry Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 Fax: 337-988-4298 | |
Mr. Jude L Guillory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298 |