| Mr Paul W Broussard, CRNA | |
|
600 N Lewis St, New Iberia, LA 70560 | |
| (337) 365-3168 | |
| (337) 369-3536 |
| Full Name | Mr Paul W Broussard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 39 Years |
| Location | 600 N Lewis St, New Iberia, 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 |
|---|---|---|---|
| 1609962612 | NPI | - | NPPES |
| 1696609 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 037524 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01145 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbus Community Hospital | Columbus, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grasshopper Anesthesia Services Pllc | 3072882315 | 44 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Entity Name | Grasshopper Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul W Broussard, CRNA 2669 Scenic Dr, Alamogordo, NM 88310-8700 Ph: (337) 365-3168 | Mr Paul W 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: Medicare Enrolled 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 |