Stacy B Embanato (NPI# 1477630234, PAC ID# 1557325388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1477630234 |
| PAC ID by PECOS | 1557325388 |
| Professional Enrollment ID | I20041112000131 |
| Full Name | Stacy B Embanato |
| Organization Legal Name | BAYOU ANESTHESIA GROUP LLC |
| Address |
1601 Louisville Ave Monroe LA 71201-6027 |
| Phone Number | 3189985555 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 0648456095 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190116 | MOREHOUSE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 323 W Walnut St, Bastrop, LA 71220-4521 | 3182833600 | PARISH ANESTHESIA OF MONROE LLC |
| 1601 Louisville Ave, Monroe, LA 71201-6027 | 3189985555 | BAYOU ANESTHESIA GROUP LLC |
| 309 Jackson Ave, Monroe, LA 71201-7407 | 3183274190 | PARISH ANESTHESIA OF MONROE LLC |
| 312 Grammont St, Suite 101, Monroe, LA 71201-7403 | 3189986129 | SMSO ANESTHESIA, LLC |
| Organization Legal Name | BAYOU ANESTHESIA GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin E Daigle | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Sarah F Hart | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 312 Grammont St, Suite 303, Monroe, LA 71201-7403 |
| Adam D Collins | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 312 Grammont St, Suite 303, Monroe, LA 71201-7403 |
| Kourtney Lewis | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Dustin C Broussard | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Street Address |
1601 LOUISVILLE AVE |
| City | MONROE |
| State | LA |
| Zip | 71201-6027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory M Gilbert | Certified Registered Nurse Anesthetist (crna) | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Dustin E Daigle | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Cherie A Donias | Certified Registered Nurse Anesthetist (crna) | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Kourtney Lewis | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Dustin C Broussard | Certified Registered Nurse Anesthetist (crna) | Bayou Anesthesia Group LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Lori Y Spence | Certified Registered Nurse Anesthetist (crna) | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Albert J Gros Jr. | Anesthesiology | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Connie R Shively | Certified Registered Nurse Anesthetist (crna) | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Harold J Bayonne Jr. | Anesthesiology | 1601 Louisville Ave, Monroe, LA 71201-6027 | |
| Jade Brashear | Certified Registered Nurse Anesthetist (crna) | Ams Louisiana LLC | 1601 Louisville Ave, Monroe, LA 71201-6027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula M Wallace | Physician Assistant | 212 Walnut, Suite 110, Monroe, LA 71201 | |
| Angela C Hamby | Nurse Practitioner | 5000 Forsythe Byp, Suite 118, Monroe, LA 71201-2168 | |
| Christopher Leblanc | Clinical Social Worker | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 |
| Jane Md Everist | Pediatric Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
| Warren A Daniel Jr. | Family Practice | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
| Loretta P Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | |
| Aruna Gullapalli | Psychiatry | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Venkat N Mallepalli | Internal Medicine | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Jorge E Alvernia- Silva | Neurosurgery | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Kitty Jon Kervin | Nurse Practitioner | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Find all physicians in zip 71201 | |||
| City | MONROE |
| Zip Code | 71201 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | MONROE + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Stacy B Embanato.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.