Ms Sandra Lee Brommeland Gonzalez, APRN-BC | |
1101 Audubon Ave, Thibodaux, LA 70301-4957 | |
(985) 857-3615 | |
(941) 295-7336 |
Full Name | Ms Sandra Lee Brommeland Gonzalez |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 1101 Audubon Ave, Thibodaux, 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 |
---|---|---|---|
1053428342 | NPI | - | NPPES |
1022004 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP 5139 (Louisiana) | Primary |
Entity Name | Department Of Health And Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497794887 PECOS PAC ID: 1355235680 Enrollment ID: O20040827000955 |
Entity Name | Psychiatric Solutions, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184913451 PECOS PAC ID: 3375708860 Enrollment ID: O20120709000166 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Lee Brommeland Gonzalez, APRN-BC 929 Bayou Dularge Rd, Houma, LA 70363-7614 Ph: (985) 872-3550 | Ms Sandra Lee Brommeland Gonzalez, APRN-BC 1101 Audubon Ave, Thibodaux, LA 70301-4957 Ph: (985) 857-3615 |
Rebecca Ann Melancon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Mrs. Emily Rivet Landry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-446-1546 | |
Candice Eschete, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4727 | |
Champ Phuphanich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 1st St, Thibodaux, LA 70301 Phone: 985-228-6028 | |
Ashley Ann Dufrene, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Rue Colette, Thibodaux, LA 70301 Phone: 985-625-0023 | |
Nicholas S Fuglaar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2031 Audubon Ave, Thibodaux, LA 70301 Phone: 985-803-8383 |