Mr Christian Charles White, | |
501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | |
(337) 312-8291 | |
(337) 312-6703 |
Full Name | Mr Christian Charles White |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 501 Dr Michael Debakey Dr, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710459623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN122676 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 203824 (Louisiana) | Primary |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Mailing Address | Practice Location Address |
---|---|
Mr Christian Charles White, 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8291 | Mr Christian Charles White, 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8291 |
Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177 | |
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214 | |
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316 | |
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870 | |
Mrs. Yvonne Eileen Alexander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3036 | |
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765 | |
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498 |