Benjamin James Colvin, RN | |
641 Rowena St, Montgomery, LA 71454-6313 | |
(318) 646-3000 | |
(318) 646-3003 |
Full Name | Benjamin James Colvin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 641 Rowena St, Montgomery, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730425281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 120031 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP07366 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Louisiana Homecare Of Alexandria | Alexandria, LA | Home health agency |
Kindred At Home | Coushatta, LA | Home health agency |
Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
Winn Parish Medical Center | Winnfield, LA | Hospital |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bjc Healthcare, Llc | 1153603519 | 2 |
Dry Prong Family Clinic, Llc | 1759631591 | 2 |
Entity Name | Bjc Healthcare, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730429952 PECOS PAC ID: 1153603519 Enrollment ID: O20180419000312 |
Entity Name | Dry Prong Family Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366928277 PECOS PAC ID: 1759631591 Enrollment ID: O20180829001047 |
Mailing Address | Practice Location Address |
---|---|
Benjamin James Colvin, RN 105 Commanche Trl, Pineville, LA 71360-4403 Ph: (318) 663-4914 | Benjamin James Colvin, RN 641 Rowena St, Montgomery, LA 71454-6313 Ph: (318) 646-3000 |