Emily Diane Pruitt, | |
2106 Loop Rd, Winnsboro, LA 71295-3344 | |
(318) 435-9411 | |
(318) 435-9260 |
Full Name | Emily Diane Pruitt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2106 Loop Rd, Winnsboro, 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 |
---|---|---|---|
1760978449 | NPI | - | NPPES |
F07181660 | Other | CERTIFICATION | |
14296793 | Other | CAQH | |
2478486 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP10208 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Calcasieu Urgent Care Llc | 5496908071 | 106 |
Entity Name | Franklin Parish Hospital Service District No1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
Entity Name | Calcasieu Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
Mailing Address | Practice Location Address |
---|---|
Emily Diane Pruitt, 2106 Loop Rd, Winnsboro, LA 71295-3344 Ph: (318) 435-9411 | Emily Diane Pruitt, 2106 Loop Rd, Winnsboro, LA 71295-3344 Ph: (318) 435-9411 |
Joyce Pennington Lockard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste A, Winnsboro, LA 71295 Phone: 318-435-8020 Fax: 318-435-8099 | |
John Tyler Ulmer, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Fair Ave, Winnsboro, LA 71295 Phone: 318-435-8020 | |
Mrs. Jessica Ellen Credle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste B, Winnsboro, LA 71295 Phone: 318-239-4860 Fax: 805-295-4715 | |
Mrs. Kimberly R Fannin - Trisler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2106 Loop Rd # C, Winnsboro, LA 71295 Phone: 318-435-4571 Fax: 318-435-3842 | |
Jessica Williams Perry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste A, Winnsboro, LA 71295 Phone: 318-435-6363 Fax: 318-435-3842 | |
Samantha J Wood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2104 Loop Rd Ste C, Winnsboro, LA 71295 Phone: 318-435-4571 | |
Mrs. Shelia Katheleen Perry, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Polk St, Winnsboro, LA 71295 Phone: 318-435-6116 |