Mrs Darie S Gilliam, FNP-C | |
11990 Jackson St, Clinton, LA 70722-3210 | |
(225) 683-5292 | |
(225) 683-3411 |
Full Name | Mrs Darie S Gilliam |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 47 Years |
Location | 11990 Jackson St, Clinton, 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 |
---|---|---|---|
1174526883 | NPI | - | NPPES |
1534935 | Medicaid | LA | |
1653047 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 84714-2755 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Womans Hospital | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Care Providers For A Healthy Feliciana Inc. | 1052220985 | 38 |
Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173 |
Mailing Address | Practice Location Address |
---|---|
Mrs Darie S Gilliam, FNP-C Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Mrs Darie S Gilliam, FNP-C 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292 |
Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370 | |
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359 | |
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 | |
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Lezerrica Ford, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Shannon N Amacker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 |