| Ms Wanda C Defraites, CRNA | |
|
5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | |
| (225) 765-8843 | |
| Not Available |
| Full Name | Ms Wanda C Defraites |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 5000 Hennessy Blvd, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639257397 | NPI | - | NPPES |
| 1904783 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 05765401886 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP01886 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zephyr Anesthesia Llc | 1658559125 | 142 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Anesthesiology Group Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
| Entity Name | Hospital Service District No. 1 Of Iberia Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780690180 PECOS PAC ID: 4688659188 Enrollment ID: O20040621000102 |
| Entity Name | Zephyr Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Wanda C Defraites, CRNA 4300 Folse Dr, Metairie, LA 70006-1225 Ph: (504) 887-8859 | Ms Wanda C Defraites, CRNA 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 Ph: (225) 765-8843 |
Toni Tolar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8325 Kelwood Ave, Baton Rouge, LA 70806 Phone: 225-929-7600 Fax: 225-930-7524 | |
Holli B Cordell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-769-4403 Fax: 225-769-4403 | |
Amy Martin Mcmillan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808 Phone: 225-214-6438 | |
Mrs. Courtney Day Passman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808 Phone: 225-765-3111 Fax: 225-765-3114 | |
Denise N Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809 Phone: 225-769-4403 Fax: 225-769-3842 | |
Kaley Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-8541 | |
Lindsay Jones, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Womans Way, Baton Rouge, LA 70817 Phone: 225-927-1300 |