| Timothy Maynard, CRNA | |
|
3510 N Causeway Blvd, Metairie, LA 70002-3531 | |
| (504) 779-5568 | |
| Not Available |
| Full Name | Timothy Maynard |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3510 N Causeway Blvd, Metairie, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649215518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN099679 (Louisiana) | Primary |
| Entity Name | Baton Rouge Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487938536 PECOS PAC ID: 0648446526 Enrollment ID: O20111227000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Maynard, CRNA 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (517) 787-6440 | Timothy Maynard, CRNA 3510 N Causeway Blvd, Metairie, LA 70002-3531 Ph: (504) 779-5568 |
Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 |
Carolyn Smith Mccord, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Nursery Ave, Metairie, LA 70005 Phone: 504-319-3812 |
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 |
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 |
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 |
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515 |
Mr. Warren Jeffrey Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3150 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 |