Mrs Candice Coco Desselle, APRN | |
3330 Masonic Dr, Alexandria, LA 71301-3841 | |
(318) 483-4090 | |
Not Available |
Full Name | Mrs Candice Coco Desselle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 3330 Masonic Dr, Alexandria, 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 |
---|---|---|---|
1265970719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN127478 (Louisiana) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | AP09177 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Central Louisiana Physicians, Llc | 9335598499 | 44 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
Entity Name | Central Louisiana Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308 |
Mailing Address | Practice Location Address |
---|---|
Mrs Candice Coco Desselle, APRN 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2713 | Mrs Candice Coco Desselle, APRN 3330 Masonic Dr, Alexandria, LA 71301-3841 Ph: (318) 483-4090 |
Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-545-0655 | |
Melanie Leonard Taylor, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Macarthur Dr, Alexandria, LA 71301 Phone: 318-448-6800 | |
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr # 250, Alexandria, LA 71301 Phone: 318-473-4613 | |
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Versailles Blvd, Alexandria, LA 71303 Phone: 318-201-5307 Fax: 318-484-4800 | |
Mrs. Heather Renee Rachal, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Brevard Ct Ste D, Alexandria, LA 71303 Phone: 318-777-6887 | |
Tracie Givens, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3704 North Blvd Ste D, Alexandria, LA 71301 Phone: 318-528-3200 Fax: 318-528-3201 | |
Mrs. Laura Elizabeth Williamson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Medical Center Dr Ste 100, Alexandria, LA 71301 Phone: 318-487-1358 Fax: 318-487-9584 |