Candice H Wild, FNP | |
1970 N Highway 190, Covington, LA 70433-5364 | |
(985) 892-5355 | |
(985) 256-5687 |
Full Name | Candice H Wild |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1970 N Highway 190, Covington, 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 |
---|---|---|---|
1730731043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 204744 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gulfsouth Hospital Medicine Llc | 6901151984 | 20 |
Entity Name | George Keshelava, Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932528486 PECOS PAC ID: 0143442822 Enrollment ID: O20141113000399 |
Entity Name | Gulfsouth Hospital Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871097766 PECOS PAC ID: 6901151984 Enrollment ID: O20180614002079 |
Mailing Address | Practice Location Address |
---|---|
Candice H Wild, FNP Po Box 3370, Covington, LA 70434-3370 Ph: (985) 400-5988 | Candice H Wild, FNP 1970 N Highway 190, Covington, LA 70433-5364 Ph: (985) 892-5355 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |