Mrs Jolie Gardner Mixon, APRN in Lafayette, LA

Mrs Jolie Gardner Mixon, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 470-2911.

Mrs Jolie Gardner Mixon is licensed to practice in Louisiana (license number 229060) 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 1033823000.

Contact Information

	Mrs Jolie Gardner Mixon, APRN
	4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917
	(337) 470-2911
	(337) 470-2695

Map and Direction

Provider's Profile

Full Name	Mrs Jolie Gardner Mixon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4801 Ambassador Caffery Pkwy, 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: 1033823000
Provider Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1557721644
Enrollment ID: I20230720003881

Medical Identifiers

Medical identifiers for Mrs Jolie Gardner Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033823000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	229060 (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 Jolie Gardner Mixon allows following entities to bill medicare on her behalf.

Entity Name	Acadiana Acute Care Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255566626 PECOS PAC ID: 0547390056 Enrollment ID: O20100610000065

Entity Name	Check Point Urgent Care Of Crowley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750822151 PECOS PAC ID: 5991079444 Enrollment ID: O20170921001375

Entity Name	Check Point Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932696812 PECOS PAC ID: 8426394628 Enrollment ID: O20190109000935

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 Jolie Gardner Mixon 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 Jolie Gardner Mixon, APRN 109 Bottes Ave, Youngsville, LA 70592-5184 Ph: (337) 349-4614	Mrs Jolie Gardner Mixon, APRN 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-2911

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, LA

Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000
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Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586

Mrs Jolie Gardner Mixon, APRN - Medicare Nurse Practitioner in Lafayette, LA