Mr Kenneth Lane Gary, NP | |
701 Cypress St, Sulphur, LA 70663-5053 | |
(337) 527-4270 | |
(337) 527-4288 |
Full Name | Mr Kenneth Lane Gary |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 701 Cypress St, Sulphur, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992849244 | NPI | - | NPPES |
1019631 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN094922-AP04928 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Charles Urgent Care | 1052580644 | 15 |
Lcuc Family Physicians Urgent Care Llc | 8325327935 | 11 |
Entity Name | Lake Charles Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306135892 PECOS PAC ID: 1052580644 Enrollment ID: O20110817000061 |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Entity Name | Calcasieu Cameron Hospital Medicine Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659764967 PECOS PAC ID: 1557688421 Enrollment ID: O20150402002192 |
Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
Entity Name | Lcuc Family Physicians Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932655784 PECOS PAC ID: 8325327935 Enrollment ID: O20161122000322 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth Lane Gary, NP 4521 Oak Ridge Dr, Sulphur, LA 70665-9379 Ph: (337) 526-2777 | Mr Kenneth Lane Gary, NP 701 Cypress St, Sulphur, LA 70663-5053 Ph: (337) 527-4270 |
Kennetha L Simien, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 High Hope Rd, Sulphur, LA 70663 Phone: 337-527-8140 | |
Mrs. Marilyn Hopson Watson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Stelly Ln, Sulphur, LA 70663 Phone: 337-312-1000 Fax: 337-527-8963 | |
Laken Desonier Kelly, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, 3645 S. Beglis Pkwy, Sulphur, LA 70665 Phone: 337-476-3149 | |
Amanda Kate Dawson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 | |
Carly Hillebrandt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, Sulphur, LA 70665 Phone: 337-626-1011 Fax: 337-558-5585 | |
Angie Ewalt Dukes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 1st Ave, Sulphur, LA 70663 Phone: 337-527-6385 Fax: 337-527-3527 | |
Dean Joseph Chesson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Summerwood Dr, Sulphur, LA 70663 Phone: 337-304-7656 |