Kristin King Martin, NP | |
1024 E Ascension Complex Blvd, Gonzales, LA 70737-4263 | |
(225) 765-5500 | |
(225) 644-2822 |
Full Name | Kristin King Martin |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1024 E Ascension Complex Blvd, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568616654 | NPI | - | NPPES |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
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Kristin King Martin, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5500 | Kristin King Martin, NP 1024 E Ascension Complex Blvd, Gonzales, LA 70737-4263 Ph: (225) 765-5500 |
Carol B Craig, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-644-2100 Fax: 225-644-5213 | |
Jennifer Jennings Gibson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 | |
Megan Louque Stamps, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737 Phone: 504-465-4550 Fax: 833-222-4520 | |
Racine Dominique Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 W Orice Roth Rd Apt 1510, Gonzales, LA 70737 Phone: 225-348-3997 | |
Thu Anh Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737 Phone: 504-520-0373 | |
Angelle Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 225-644-3264 | |
Maretta Daniel, MSN ,APN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737 Phone: 225-236-5970 |