Shani Gorio Booth, ANP, PMHNP | |
42334 Deluxe Plz Ste 2, Hammond, LA 70403-1237 | |
(985) 662-5520 | |
Not Available |
Full Name | Shani Gorio Booth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 42334 Deluxe Plz Ste 2, Hammond, 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 |
---|---|---|---|
1407087034 | NPI | - | NPPES |
1803634 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | AP05920 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP05920 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine Clinic Of Tangipahoa, Llc | 9234034778 | 21 |
Entity Name | Internal Medicine Clinic Of Tangipahoa, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588678494 PECOS PAC ID: 9234034778 Enrollment ID: O20031206000015 |
Mailing Address | Practice Location Address |
---|---|
Shani Gorio Booth, ANP, PMHNP 1752 Ox Bow Ln, Covington, LA 70433-7273 Ph: (985) 507-8436 | Shani Gorio Booth, ANP, PMHNP 42334 Deluxe Plz Ste 2, Hammond, LA 70403-1237 Ph: (985) 662-5520 |
Ashley Pinion Bratton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr Ste 301, Hammond, LA 70403 Phone: 985-230-2630 Fax: 985-230-2634 | |
Mrs. Kristen King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-3066 Fax: 985-230-2072 | |
Mrs. Patricia Garner Dalferes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402s Magnolia St A, Hammond, LA 70403 Phone: 985-247-4567 Fax: 985-269-7091 | |
Brittany Michelle Zimmer, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 | |
Hannah Wilkinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42131 Veterans Ave Ste 100, Hammond, LA 70403 Phone: 985-345-7246 Fax: 985-345-7249 | |
Cathy O'neal Riggio, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-318-6400 | |
Kim C. Fugarino, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42388 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-6251 |