Mrs Amanda Jane Pitre, APRN | |
302 W 4th St, Dequincy, LA 70633-3404 | |
(337) 222-5524 | |
Not Available |
Full Name | Mrs Amanda Jane Pitre |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 302 W 4th St, Dequincy, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659946416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 218816 (Louisiana) | Secondary |
363L00000X | Nurse Practitioner | 218816 (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 |
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Mrs Amanda Jane Pitre, APRN 302 W 4th St, Dequincy, LA 70633-3404 Ph: (337) 222-5524 | Mrs Amanda Jane Pitre, APRN 302 W 4th St, Dequincy, LA 70633-3404 Ph: (337) 222-5524 |
Julie E Thorn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 Fax: 337-786-7999 | |
Robin Shirley Bedgood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 |