Chad Jeremy Domangue, NURSE PRACTITIONER | |
1125 Marguerite St, Morgan City, LA 70380-1855 | |
(800) 893-9698 | |
Not Available |
Full Name | Chad Jeremy Domangue |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 1125 Marguerite St, Morgan City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588929723 | NPI | - | NPPES |
2306774 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP06871 (Louisiana) | Primary |
Entity Name | South Louisiana Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
Entity Name | St Mary Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235108499 PECOS PAC ID: 7810926995 Enrollment ID: O20050809000607 |
Entity Name | St Anne Er Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740699248 PECOS PAC ID: 0446472898 Enrollment ID: O20141119001509 |
Mailing Address | Practice Location Address |
---|---|
Chad Jeremy Domangue, NURSE PRACTITIONER 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Chad Jeremy Domangue, NURSE PRACTITIONER 1125 Marguerite St, Morgan City, LA 70380-1855 Ph: (800) 893-9698 |
Alana Gautreaux Andras, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 David Dr, Morgan City, LA 70380 Phone: 985-384-2430 | |
Mrs. Angela Fuller Doiron, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Lakewood Dr., Plaza 2 Suite 200, Morgan City, LA 70380 Phone: 985-702-1220 Fax: 985-702-9715 | |
David Bourg, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Kenneth St, Morgan City, LA 70380 Phone: 985-384-3355 Fax: 985-384-2884 | |
Lauren Gayral Hymel, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1216 N Victor Ii Blvd Ste 100, Morgan City, LA 70380 Phone: 985-702-2229 Fax: 985-384-0329 | |
Chandler Pasqua, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Lakewood Dr, Morgan City, LA 70380 Phone: 985-380-4350 | |
Mr. Glenn Wilson Lanclos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1151 Marguerite St, Morgan City, LA 70380 Phone: 985-380-2200 | |
Ms. Abby A Burke, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 David Dr, Morgan City, LA 70380 Phone: 985-384-2430 |