| 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 | Nurse Anesthetist, Certified Registered |
| Location | 105 Blue Ridge Dr, Carencro, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Mid-louisiana Anesthesia Consultants, APMC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888914 PECOS PAC ID: 3971408733 Enrollment ID: O20031204000583 |
| Entity Name | Anesthesiology & Pain Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841287901 PECOS PAC ID: 3870490402 Enrollment ID: O20031212000737 |
| Entity Name | Willis Knighton Medical Center Inc CRNA Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
| Entity Name | Smso Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054 |
| 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 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 |