Dr Loretta Pylant Gremillion, MD | |
2409 Broadmoor Blvd, Monroe, LA 71201-2964 | |
(318) 323-8799 | |
(318) 323-8815 |
Full Name | Dr Loretta Pylant Gremillion |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 21 Years |
Location | 2409 Broadmoor Blvd, Monroe, 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 |
---|---|---|---|
1073704391 | NPI | - | NPPES |
1059587 | Medicaid | LA | |
4N1007387 | Other | LA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 026501 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Monroe Surgical Hospital | Monroe, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology Care A Professional Medical Corporation | 4082884119 | 2 |
Entity Name | Advanced Dermatology Care A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336439553 PECOS PAC ID: 4082884119 Enrollment ID: O20110829000716 |
Mailing Address | Practice Location Address |
---|---|
Dr Loretta Pylant Gremillion, MD 1868 Forsythe Ave, Ste 335, Monroe, LA 71201-3540 Ph: (318) 251-6216 | Dr Loretta Pylant Gremillion, MD 2409 Broadmoor Blvd, Monroe, LA 71201-2964 Ph: (318) 323-8799 |
Dr. Kimberly M Mills, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2804 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-0032 Fax: 318-388-0491 | |
Dr. Creighton Chandler Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd # A, Monroe, LA 71201 Phone: 318-361-2136 Fax: 318-812-6338 | |
Ms. Caitlin Gail Robinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2408 Duval Dr, Monroe, LA 71201 Phone: 318-516-2711 Fax: 318-516-2711 | |
Mrs. Mary Janine O Hopkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2509 Broadmoor Blvd, Ste A, Monroe, LA 71201 Phone: 318-325-0600 Fax: 318-325-0890 | |
Dr. James Arthur Altick Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2804 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-387-2545 Fax: 318-387-2775 |