Mrs Africa Black Dauphiney, APRN in Lafayette, LA

Mrs Africa Black Dauphiney, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Lafayette, Louisiana. Her current practice location is 3400 Moss St Ste B, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 454-3352.

Mrs Africa Black Dauphiney is licensed to practice in Louisiana (license number RN120812-AP06643) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588944383.

Contact Information

	Mrs Africa Black Dauphiney, APRN
	3400 Moss St Ste B, Lafayette, LA 70507-6114
	(337) 454-3352
	(337) 454-3359

Map and Direction

Provider's Profile

Full Name	Mrs Africa Black Dauphiney
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3400 Moss St Ste B, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588944383
Provider Enumeration Date: 08/24/2011
Last Update Date: 10/05/2020

Medicare PECOS Information:

PECOS PAC ID: 1254591563
Enrollment ID: I20120323000395

Medical Identifiers

Medical identifiers for Mrs Africa Black Dauphiney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588944383	NPI	-	NPPES
3D060CA15	Other	LA	MEDICARE GROUP MEMBER PTAN
2181254	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN120812 (Louisiana)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN120812-AP06643 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Africa Black Dauphiney allows following entities to bill medicare on her behalf.

Entity Name	Lafayette Health Ventures Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263

Entity Name	University Hospital & Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Africa Black Dauphiney is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Africa Black Dauphiney, APRN Po Box 62504, Lafayette, LA 70596-2504 Ph: (337) 454-3352	Mrs Africa Black Dauphiney, APRN 3400 Moss St Ste B, Lafayette, LA 70507-6114 Ph: (337) 454-3352

Reviews and Comments

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Mrs Africa Black Dauphiney, APRN - Medicare Nurse Practitioner in Lafayette, LA