Glenda Carol Breakfell Petroff, FNPC | |
22070 Highway 59, Abita Springs, LA 70420 | |
(985) 892-0879 | |
(985) 875-2384 |
Full Name | Glenda Carol Breakfell Petroff |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 22070 Highway 59, Abita Springs, 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 |
---|---|---|---|
1609879659 | NPI | - | NPPES |
1128139 | Medicaid | LA | |
P00239061 | Other | RR MEDICARE | |
07931777 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN099641 (Louisiana) | Secondary |
363L00000X | Nurse Practitioner | RN099641AP03834 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
St Tammany Parish Hospital | Covington, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Glenda Carol Breakfell Petroff, FNPC 1514 Jefferson Hwy, New Orleans, LA 70121 Ph: (504) 842-4000 | Glenda Carol Breakfell Petroff, FNPC 22070 Highway 59, Abita Springs, LA 70420 Ph: (985) 892-0879 |
Elizabeth Thibodeaux Buras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22070 Highway 59, Abita Springs, LA 70420 Phone: 985-875-2379 | |
Mrs. Kimberly A May, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75217 Jack Lloyd Rd, Abita Springs, LA 70420 Phone: 985-590-8058 | |
Mrs. Rosalie E Richard, APRN BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70420 Eike St, Abita Springs, LA 70420 Phone: 337-643-8424 Fax: 337-643-8407 |