| Thomas J Fontenot, CRNA | |
|
202 Rue Bordeaux, Carencro, LA 70520-4328 | |
| (337) 298-5937 | |
| Not Available |
| Full Name | Thomas J Fontenot |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 202 Rue Bordeaux, Carencro, 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 |
|---|---|---|---|
| 1902913726 | NPI | - | NPPES |
| 1654574 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN065361 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Place Surgical Hospital | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology And Pain Consultants Llc | 3870490402 | 48 |
| Youngs Professional Services Llc | 2163524992 | 297 |
| Eunice Anesthesiology Group Llc | 2365430758 | 14 |
| Entity Name | Anesthesiology & Pain Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841287901 PECOS PAC ID: 3870490402 Enrollment ID: O20031212000737 |
| 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 | Sanford Anesthesia Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114267945 PECOS PAC ID: 0446473755 Enrollment ID: O20140513002036 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Fontenot, CRNA 202 Rue Bordeaux, Carencro, LA 70520-4328 Ph: (337) 298-5937 | Thomas J Fontenot, CRNA 202 Rue Bordeaux, Carencro, LA 70520-4328 Ph: (337) 298-5937 |
Mr. Neal Anthony Dupre, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 105 Blue Ridge Dr, Carencro, LA 70520 Phone: 337-896-9639 |