Derek J Deshotel, CRNA - Medicare Nurse Anesthetist, Certified Registered in Alexandria, LA

Derek J Deshotel, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alexandria, Louisiana. His current practice location is 211 4th St, Alexandria, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 473-3000.

Derek J Deshotel is licensed to practice in Louisiana (license number 070004) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235289539.

Contact Information

Derek J Deshotel, CRNA
211 4th St,
Alexandria, LA 71301-8421
(318) 473-3000
Not Available



Provider's Profile

Full NameDerek J Deshotel
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location211 4th St, Alexandria, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235289539
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 05/01/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1557344694
  • Enrollment ID: I20040610000563

Medical Identifiers

Medical identifiers for Derek J Deshotel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235289539NPI-NPPES
1674931MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 070004 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek J Deshotel allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Group Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255399598
PECOS PAC ID: 0042110298
Enrollment ID: O20040113000117

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Entity NameEunice Anesthesiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386681278
PECOS PAC ID: 2365430758
Enrollment ID: O20040504001163

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Entity NameLake Charles Anesthesiology, Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588674790
PECOS PAC ID: 6800867714
Enrollment ID: O20040804000651

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Entity NameLafayette Health Ventures Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417986092
PECOS PAC ID: 9335043074
Enrollment ID: O20041105000263

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Entity NameLcms Cardiovascular Diseases, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285869370
PECOS PAC ID: 1951541515
Enrollment ID: O20130703000206

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek J Deshotel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derek J Deshotel, CRNA
211 4th St, Box 30135,
Alexandria, LA 71301-8421

Ph: (318) 448-8440
Derek J Deshotel, CRNA
211 4th St,
Alexandria, LA 71301-8421

Ph: (318) 473-3000

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Nurse Anesthetist, Certified Registered Nurses in Alexandria, LA

Elizabeth A Cole, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1444 Peterman Dr, Alexandria, LA 71301
Phone: 318-442-5399    Fax: 318-442-1586
Clinton D Sellers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 211 4th St # 30135, Alexandria, LA 71301
Phone: 318-448-4440    Fax: 318-473-4340
Jeffery E Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 211 4th St, Alexandria, LA 71301
Phone: 318-769-3000    
Todd C Antony, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 211 4th St, Alexandria, LA 71301
Phone: 318-473-3000    
Donna K Moreau, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1444 Peterman Dr, Alexandria, LA 71301
Phone: 318-442-5399    Fax: 318-442-1586
Rene Dejean, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1444 Peterman Dr, Alexandria, LA 71301
Phone: 318-442-5399    Fax: 318-442-1586
Matthew J Meynard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1444 Peterman Dr, Alexandria, LA 71301
Phone: 318-442-5399    Fax: 318-442-1586

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