Dr Holly C Provost, MD | |
3975 I 49 S Service Rd, Suite 205a, Opelousas, LA 70570-0775 | |
(337) 942-2323 | |
(337) 942-2626 |
Full Name | Dr Holly C Provost |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 3975 I 49 S Service Rd, Opelousas, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356349245 | NPI | - | NPPES |
160059334 | Other | LA | RAILROAD MEDICARE PROV # |
7352418 | Other | AL | AETNA PROVIDER ID NUMBER |
1571831 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 024378 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital & Clinics | Lafayette, LA | Hospital |
University Medical Center New Orleans | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsuhn Billing Llc | 0446337802 | 173 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Mailing Address | Practice Location Address |
---|---|
Dr Holly C Provost, MD 3975 I 49 S Service Rd, Suite 205a, Opelousas, LA 70570-0775 Ph: (337) 942-2323 | Dr Holly C Provost, MD 3975 I 49 S Service Rd, Suite 205a, Opelousas, LA 70570-0775 Ph: (337) 942-2323 |
Melanie Weaver, CNM, MSN Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1270 Attakapas Dr, Ste 402, Opelousas, LA 70570 Phone: 337-594-3915 | |
Dr. Andre' Louis Pinac Iii, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 816 Creswell Ln, Suite 1, Opelousas, LA 70570 Phone: 337-942-2112 Fax: 337-942-5805 | |
Dr. Samantha Lavergne Vidrine, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1268 Attakapas Dr Ste 102, Opelousas, LA 70570 Phone: 337-447-4280 Fax: 337-447-4282 | |
Rachael A Tate, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1270 Attakapas Dr Ste 102, Opelousas, LA 70570 Phone: 337-948-6300 Fax: 337-948-0123 | |
Damian Badeaux, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1270 Attakapas Dr, Ste 402, Opelousas, LA 70570 Phone: 337-948-4030 Fax: 337-948-2008 | |
Dr. Louis A Kerkhoff, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1268 Attakapas Dr, Ste 102, Opelousas, LA 70570 Phone: 337-948-1711 Fax: 337-948-3404 |