Shelly Marie Gautreaux, CRNA - Medicare Nurse Anesthetist, Certified Registered in Baton Rouge, LA

Shelly Marie Gautreaux, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baton Rouge, Louisiana. Her current practice location is 5000 Hennessy Blvd, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-6565.

Shelly Marie Gautreaux is licensed to practice in Louisiana (license number RN113298) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730489444.

Contact Information

Shelly Marie Gautreaux, CRNA
5000 Hennessy Blvd,
Baton Rouge, LA 70808-4375
(225) 765-6565
Not Available



Provider's Profile

Full NameShelly Marie Gautreaux
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location5000 Hennessy Blvd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730489444
  • Provider Enumeration Date: 10/27/2010
  • Last Update Date: 10/27/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7517142870
  • Enrollment ID: I20110502000038

Medical Identifiers

Medical identifiers for Shelly Marie Gautreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730489444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN113298 (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. Shelly Marie Gautreaux allows following entities to bill medicare on her 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 NameKja Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942543400
PECOS PAC ID: 0345482097
Enrollment ID: O20130809000265

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Entity NameAdvanced Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275055543
PECOS PAC ID: 7214200872
Enrollment ID: O20170901000111

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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. Shelly Marie Gautreaux 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
Shelly Marie Gautreaux, CRNA
9020 Worth Ave,
Baton Rouge, LA 70810-2722

Ph: (985) 791-8398
Shelly Marie Gautreaux, CRNA
5000 Hennessy Blvd,
Baton Rouge, LA 70808-4375

Ph: (225) 765-6565

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Nurse Anesthetist, Certified Registered Nurses in Baton Rouge, LA

Toni Tolar, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8325 Kelwood Ave, Baton Rouge, LA 70806
Phone: 225-929-7600    Fax: 225-930-7524
Holli B Cordell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808
Phone: 225-769-4403    Fax: 225-769-4403
Amy Johnson, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808
Phone: 225-214-6438    
Mrs. Courtney Day Passman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7145 Perkins Road, Baton Rouge, LA 70808
Phone: 225-765-3111    Fax: 225-765-3114
Denise N Baumgartner, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8212 Summa Ave, Baton Rouge, LA 70809
Phone: 225-769-4403    Fax: 225-769-3842
Kaley Mcclure, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808
Phone: 225-765-8541    
Alton J Ardoin, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 7855 Howell Blvd, Baton Rouge, LA 70807
Phone: 225-358-4900    

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