| Stacy R Embanato, CRNA | |
|
323 W. Walnut Avenue, Bastrop, LA 71220 | |
| (318) 343-2200 | |
| Not Available |
| Full Name | Stacy R Embanato |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 323 W. Walnut Avenue, Bastrop, 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 |
|---|---|---|---|
| 1477630234 | NPI | - | NPPES |
| 1153893 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP04193 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Medical Center | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zephyr Anesthesia Llc | 1658559125 | 142 |
| Smso Anesthesia, Llc | 7012970627 | 45 |
| Entity Name | Smso Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054 |
| Entity Name | Endoscopy Center Of Monroe |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1417957796 PECOS PAC ID: 3173666120 Enrollment ID: O20100130000072 |
| Entity Name | Bayou Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528365947 PECOS PAC ID: 0648456095 Enrollment ID: O20110519000054 |
| 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 | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Harold J Bayonne Jr Md Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356886774 PECOS PAC ID: 2062786726 Enrollment ID: O20170919000798 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230620003381 |
| Entity Name | M Kneeland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194593269 PECOS PAC ID: 2264976331 Enrollment ID: O20240629000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy R Embanato, CRNA 255 W Michigan Ave, P O Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Stacy R Embanato, CRNA 323 W. Walnut Avenue, Bastrop, LA 71220 Ph: (318) 343-2200 |