Mrs Glenda Poche Vicknair, CRNA - Nurse Anesthetist, Certified Registered in Lutcher, LA

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Mrs Glenda Poche Vicknair, CRNA is a Nurse Anesthetist, Certified Registered based in Lutcher, Louisiana. Mrs Glenda Poche Vicknair is licensed to practice in Louisiana (license number 021000) and her current practice location is 2471 Louisiana Ave, St James Parish Hospital, Lutcher, Louisiana. She can be reached at her office (for appointments etc.) via phone at (225) 869-5512.

NPI number for Mrs Glenda Poche Vicknair is 1588646160 and her current mailing address is 316 N Millet Ave, Gramercy, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588646160.

Contact Information

Mrs Glenda Poche Vicknair, CRNA
2471 Louisiana Ave, St James Parish Hospital,
Lutcher, LA 70071-5413
(225) 869-5512
(225) 869-4956

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Provider's Profile

Full NameMrs Glenda Poche Vicknair
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2471 Louisiana Ave, Lutcher, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588646160
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Glenda Poche Vicknair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588646160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN027658 (Louisiana)Primary
367500000XNurse Anesthetist, Certified Registered 021000 (Louisiana)Primary

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 Glenda Poche Vicknair is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Glenda Poche Vicknair, CRNA
316 N Millet Ave,
Gramercy, LA 70052-3610

Ph: (225) 869-8668		Mrs Glenda Poche Vicknair, CRNA
2471 Louisiana Ave, St James Parish Hospital,
Lutcher, LA 70071-5413

Ph: (225) 869-5512

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lutcher, LA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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