Deirdre Irene Detraz, ANPC | |
207 N Luke St, Lafayette, LA 70506 | |
(337) 739-7278 | |
(337) 419-0533 |
Full Name | Deirdre Irene Detraz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 207 N Luke St, Lafayette, 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 |
---|---|---|---|
1396761060 | NPI | - | NPPES |
1031224 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | APO 4805 (Louisiana) | Primary |
Entity Name | Apex Prevention Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588917603 PECOS PAC ID: 1355586306 Enrollment ID: O20130325000026 |
Mailing Address | Practice Location Address |
---|---|
Deirdre Irene Detraz, ANPC Po Box 81095, Lafayette, LA 70598-1095 Ph: (337) 739-7278 | Deirdre Irene Detraz, ANPC 207 N Luke St, Lafayette, LA 70506 Ph: (337) 739-7278 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |