| Sherman James Bushnell, | |
|
1305 Crowley Rayne Hwy, Crowley, LA 70526-8202 | |
| (337) 783-3222 | |
| (337) 788-6598 |
| Full Name | Sherman James Bushnell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1305 Crowley Rayne Hwy, Crowley, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194877886 | NPI | - | NPPES |
| 1147672 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN076719 (Louisiana) | Primary |
| 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 | 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 |
|---|---|
| Sherman James Bushnell, 1305 Crowley Rayne Hwy, Crowley, LA 70526-8202 Ph: (337) 783-3222 | Sherman James Bushnell, 1305 Crowley Rayne Hwy, Crowley, LA 70526-8202 Ph: (337) 783-3222 |
Jerred Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Crowley Rayne Hwy, Crowley, LA 70526 Phone: 337-783-3222 | |
Jay L Lafleur, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 Crowley Rayne Hwy, Crowley, LA 70526 Phone: 337-783-3222 Fax: 337-788-6598 | |
Andrew Mcfarlain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Crowley Rayne Hwy, Crowley, LA 70526 Phone: 337-783-3222 | |
Brayson Lantz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Crowley Rayne Hwy, Crowley, LA 70526 Phone: 337-788-6407 Fax: 337-788-6598 |