| Mr Thomas L Marcantel, CRNA | |
|
815 S 10th Street, Doctors Hospital, Leesville, LA 71446 | |
| (337) 392-5088 | |
| (337) 392-4984 |
| Full Name | Mr Thomas L Marcantel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 815 S 10th Street, Leesville, 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 |
|---|---|---|---|
| 1013969559 | NPI | - | NPPES |
| 1104515 | Medicaid | LA | |
| 1013969559 | Other | LA | BCBS OF LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APO3911 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lcms Cardiovascular Diseases, Llc | 1951541515 | 32 |
| Youngs Professional Services Llc | 2163524992 | 218 |
| Eunice Anesthesiology Group Llc | 2365430758 | 13 |
| Entity Name | Natchitoches Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992827182 PECOS PAC ID: 4981591088 Enrollment ID: O20040303000373 |
| Entity Name | Eunice Anesthesiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386681278 PECOS PAC ID: 2365430758 Enrollment ID: O20040504001163 |
| 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 | Lcms Cardiovascular Diseases, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285869370 PECOS PAC ID: 1951541515 Enrollment ID: O20130703000206 |
| Entity Name | Osc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063862340 PECOS PAC ID: 1355637810 Enrollment ID: O20160908002453 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas L Marcantel, CRNA 6000 Bocage Dr, Alexandria, LA 71303-2191 Ph: (318) 419-0756 | Mr Thomas L Marcantel, CRNA 815 S 10th Street, Doctors Hospital, Leesville, LA 71446 Ph: (337) 392-5088 |
Stephen R Spires, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 815 S 10th St, Elite Anes. - Credentialing, Leesville, LA 71446 Phone: 337-392-5088 Fax: 337-392-4982 |