Alison Leonard Bergeron, | |
115 Eureka Dr, Gray, LA 70359-3247 | |
(985) 873-4729 | |
(985) 873-4728 |
Full Name | Alison Leonard Bergeron |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 115 Eureka Dr, Gray, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568895969 | NPI | - | NPPES |
PENDING | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP07458 (Louisiana) | Primary |
Entity Name | Prevention Plus Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790106045 PECOS PAC ID: 6406079920 Enrollment ID: O20140530000283 |
Entity Name | Physician Practice Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326598434 PECOS PAC ID: 4183909740 Enrollment ID: O20170321002664 |
Mailing Address | Practice Location Address |
---|---|
Alison Leonard Bergeron, 8166 Main St, Houma, LA 70360-3404 Ph: (985) 873-4141 | Alison Leonard Bergeron, 115 Eureka Dr, Gray, LA 70359-3247 Ph: (985) 873-4729 |
Lisa Boudreaux Mimnagh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Gainesville Dr, Gray, LA 70359 Phone: 985-790-2568 | |
Kristy Hebert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Melissa G Marcombe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Innovation Ct Ste A, Gray, LA 70359 Phone: 985-303-4100 Fax: 985-303-4101 | |
Jeanette L Naquin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Neuroscience Ct, Gray, LA 70359 Phone: 985-917-3007 Fax: 985-917-3010 | |
M'lea Talbot, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 Fax: 985-580-1218 | |
Mr. Darin R Branson, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Ms. Andree Elizabeth Leblanc, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 |