Jordan Daughenbaugh, - Medicare Nurse Anesthetist, Certified Registered in Lake Charles, LA

Jordan Daughenbaugh, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Charles, Louisiana. His current practice location is 1900 W Gauthier Rd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 480-7000.

Jordan Daughenbaugh is licensed to practice in Louisiana (license number AP08289) 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 1083097034.

Contact Information

Jordan Daughenbaugh,
1900 W Gauthier Rd,
Lake Charles, LA 70605-7170
(337) 480-7000
Not Available



Provider's Profile

Full NameJordan Daughenbaugh
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1900 W Gauthier Rd, Lake Charles, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083097034
  • Provider Enumeration Date: 07/08/2015
  • Last Update Date: 07/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9931480258
  • Enrollment ID: I20161228002076

Medical Identifiers

Medical identifiers for Jordan Daughenbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083097034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP08289 (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. Jordan Daughenbaugh allows following entities to bill medicare on his behalf.
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 NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20070226000608

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Entity NameApollo Medical Group Of Lake Charles Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356063861
PECOS PAC ID: 0143690909
Enrollment ID: O20230112001320

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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. Jordan Daughenbaugh 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
Jordan Daughenbaugh,
1900 W Gauthier Rd,
Lake Charles, LA 70605-7170

Ph: (337) 480-7000
Jordan Daughenbaugh,
1900 W Gauthier Rd,
Lake Charles, LA 70605-7170

Ph: (337) 480-7000

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Nurse Anesthetist, Certified Registered Nurses in Lake Charles, LA

Mr. Leslie B Free, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4150 Nelson Road, A-4, Lake Charles, LA 70605
Phone: 337-478-2124    Fax: 337-477-7616
Mr. Michael Shelton Adams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Walters St, Lsu W O Moss Regional Medical Center, Lake Charles, LA 70607
Phone: 337-475-8333    
Mr. Robert Geise Phillips, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605
Phone: 337-474-6353    Fax: 337-477-7616
Mr. Randall Dale Biggs, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605
Phone: 337-474-6353    Fax: 337-477-7616
Carl G Mallett, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1128 Hidden Oak Ln, Lake Charles, LA 70605
Phone: 337-478-1085    
Nathaniel J Dennis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 424 W Mcneese St, Suite L, Lake Charles, LA 70605
Phone: 337-478-0511    Fax: 337-478-5644

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