Ms Lacy Millet Boudreaux, NP | |
214 Clinic Dr, Donaldsonville, LA 70346-4309 | |
(225) 765-5500 | |
(225) 473-4406 |
Full Name | Ms Lacy Millet Boudreaux |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 214 Clinic Dr, Donaldsonville, 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 |
---|---|---|---|
1538543509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN125043 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prevost Memorial Hospital | Donaldsonville, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of Lake Ascension, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356643399 PECOS PAC ID: 1658552971 Enrollment ID: O20110221000142 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Ms Lacy Millet Boudreaux, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0018 | Ms Lacy Millet Boudreaux, NP 214 Clinic Dr, Donaldsonville, LA 70346-4309 Ph: (225) 765-5500 |
De'anna A Dark, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Railroad Ave, Donaldsonville, LA 70346 Phone: 225-473-3931 | |
Raveen Coon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Railroad Ave, Donaldsonville, LA 70346 Phone: 225-473-3931 | |
Jennifer Coleman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Railroad Ave, Donaldsonville, LA 70346 Phone: 225-473-3931 | |
Janet L Landry, APRN,BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Clinic Dr, Donaldsonville, LA 70346 Phone: 225-765-5500 Fax: 225-473-4406 | |
Vanessa Martinez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1299 Marchand Dr, Donaldsonville, LA 70346 Phone: 225-725-0087 | |
Darrell Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Railroad Ave, Donaldsonville, LA 70346 Phone: 225-473-3931 Fax: 225-473-3289 |