| William Dean Fontenot, CRNA | |
|
1634 Elton Rd, Jennings, LA 70546-3614 | |
| (225) 923-0030 | |
| (225) 923-0060 |
| Full Name | William Dean Fontenot |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 41 Years |
| Location | 1634 Elton Rd, Jennings, 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 |
|---|---|---|---|
| 1467486936 | NPI | - | NPPES |
| 1903868 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 38458 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette Health Ventures Inc | 9335043074 | 290 |
| Entity Name | Lafayette Health Ventures Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
| Mailing Address | Practice Location Address |
|---|---|
| William Dean Fontenot, CRNA Po Box 14447, Baton Rouge, LA 70898-4447 Ph: (225) 923-0030 | William Dean Fontenot, CRNA 1634 Elton Rd, Jennings, LA 70546-3614 Ph: (225) 923-0030 |
William Kent Caraway Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1634 Elton Rd, Jennings, LA 70546 Phone: 225-923-0030 Fax: 225-923-0060 | |
Michael David Marceaux, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1634 Elton Rd, Jennings, LA 70546 Phone: 225-923-0030 Fax: 225-923-0060 |