| Mr Neal Anthony Dupre, CRNA | |
|
105 Blue Ridge Dr, Carencro, LA 70520-5372 | |
| (337) 896-9639 | |
| Not Available |
| Full Name | Mr Neal Anthony Dupre |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 46 Years |
| Location | 105 Blue Ridge Dr, Carencro, 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 |
|---|---|---|---|
| 1699766493 | NPI | - | NPPES |
| 8068UN | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN043495 AP01447 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 721824 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Health System | 9830593821 | 11 |
| Entity Name | Phc-cleveland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528158532 PECOS PAC ID: 6608848270 Enrollment ID: O20040812001008 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447818026 PECOS PAC ID: 9830593821 Enrollment ID: O20210812003936 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Neal Anthony Dupre, CRNA 500 Northridge Rd, Atlanta, GA 30350-3315 Ph: (337) 896-9639 | Mr Neal Anthony Dupre, CRNA 105 Blue Ridge Dr, Carencro, LA 70520-5372 Ph: (337) 896-9639 |
Thomas J Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 202 Rue Bordeaux, Carencro, LA 70520 Phone: 337-298-5937 |