Jeremiah Rogers King, | |
3286 Oak St, Wisner, LA 71378 | |
(318) 724-6789 | |
(318) 724-6788 |
Full Name | Jeremiah Rogers King |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3286 Oak St, Wisner, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518425073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 203957 (Louisiana) | Primary |
Entity Name | Caldwell Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023283793 PECOS PAC ID: 9638063944 Enrollment ID: O20040209000941 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Rogers King, Po Box 899, Columbia, LA 71418-0899 Ph: (318) 649-6111 | Jeremiah Rogers King, 3286 Oak St, Wisner, LA 71378 Ph: (318) 724-6789 |
Mrs. Ashley B Olivier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Watson Rd, Wisner, LA 71378 Phone: 318-318-5727 Fax: 318-389-9943 | |
Mr. Susan Adams Howard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Watson Rd, Wisner, LA 71378 Phone: 318-724-7008 Fax: 318-724-7646 | |
Ms. Sherri Drake, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3286 Oak St, Wisner, LA 71378 Phone: 318-724-6789 Fax: 318-724-6788 |