Jere Welch Thompson, APRN-FNP | |
188 Burt Blvd, Benton, LA 71006-4900 | |
(318) 965-5017 | |
(318) 965-5019 |
Full Name | Jere Welch Thompson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 188 Burt Blvd, Benton, 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 |
---|---|---|---|
1366730558 | NPI | - | NPPES |
2164023 | Medicaid | LA | |
721501844 | Other | LA | TRICARE/HUMANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP06637 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Primestar Home Health Of Nwla, Inc | Ringgold, LA | Home health agency |
North Caddo Medical Center | Vivian, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benton Medical | 1456669654 | 2 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
Entity Name | Benton Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
Entity Name | Blanchard Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
Mailing Address | Practice Location Address |
---|---|
Jere Welch Thompson, APRN-FNP 188 Burt Blvd, Benton, LA 71006-4900 Ph: (318) 965-5017 | Jere Welch Thompson, APRN-FNP 188 Burt Blvd, Benton, LA 71006-4900 Ph: (318) 965-5017 |
Ms. Paula Weaver Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Benton, LA 71006 Phone: 318-965-5017 Fax: 318-965-5019 | |
April Moody, APRN-PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 Burt Blvd, Benton, LA 71006 Phone: 318-965-5017 Fax: 318-965-5019 |