Miyagi Henderson, | |
2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130 | |
(504) 229-7454 | |
Not Available |
Full Name | Miyagi Henderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2104 Gause Blvd W, Slidell, 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 |
---|---|---|---|
1588293518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP215714 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
E. M. Dimitri, D.o. Pmc. | 4284722059 | 16 |
E. M. Dimitri, D.o. Pmc. | 4284722059 | 16 |
Entity Name | E. M. Dimitri, D.o. Pmc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821285974 PECOS PAC ID: 4284722059 Enrollment ID: O20071116000378 |
Mailing Address | Practice Location Address |
---|---|
Miyagi Henderson, Po Box 7020, Slidell, LA 70469-7020 Ph: (985) 643-4575 | Miyagi Henderson, 2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130 Ph: (504) 229-7454 |
Richard Todd Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-643-2200 | |
Ms. Jaime Rebecca Loebner, MSN, FPMHNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Christian Ln, Slidell, LA 70458 Phone: 985-781-7353 | |
Laura Janette Pichon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-8743 | |
Ms. Holly Lorraine Solnick, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1340 Gause Blvd., W, Slidell, LA 70460 Phone: 985-781-7577 Fax: 985-781-7579 | |
Mrs. Jeanne Bienvenu Dakin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5488 Fax: 985-646-5720 | |
Amanda Yong Rowe, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Lindberg Dr Ste 14, Slidell, LA 70458 Phone: 985-643-5242 Fax: 985-643-5243 | |
Jaune Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1570 Lindberg Dr, Slidell, LA 70458 Phone: 985-643-5242 |