| Mrs Tara L Di Buono, CRNA | |
|
180 W Esplanade Ave, Kenner, LA 70065-2467 | |
| (504) 468-8600 | |
| Not Available |
| Full Name | Mrs Tara L Di Buono |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 180 W Esplanade Ave, Kenner, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194989111 | NPI | - | NPPES |
| 1306525 | Medicaid | LA | |
| 05035526 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 05522 (Louisiana) | Primary |
| Entity Name | Anesthesiology Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
| Entity Name | Gastro Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609253442 PECOS PAC ID: 9638483944 Enrollment ID: O20150730013027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara L Di Buono, CRNA 1111 Medical Center Blvd, Ste 450, Marrero, LA 70072-3155 Ph: (504) 834-2062 | Mrs Tara L Di Buono, CRNA 180 W Esplanade Ave, Kenner, LA 70065-2467 Ph: (504) 468-8600 |
Angela W Kilbourn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 Fax: 504-842-2036 | |
Misty Boudreaux, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 | |
Ms. Charlene V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5024 Toby Ln, Kenner, LA 70065 Phone: 504-456-9958 Fax: 504-779-6769 | |
Dana Pierce, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 | |
Jonah Parker Borskey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 | |
Micah J Metrailer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 | |
Rosalinda Garcia O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 |