Timothy J Pellegrin, PMHNP-BC | |
1014 W Tunnel Blvd, Houma, LA 70360-4050 | |
(985) 851-1717 | |
(985) 868-3839 |
Full Name | Timothy J Pellegrin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 1014 W Tunnel Blvd, Houma, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134160815 | NPI | - | NPPES |
4C669 | Other | LA | MEDICARE NUMBER |
1152919 | Medicaid | LA | |
568555 | Other | LA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APO4222 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teche Action Board Inc | 0648163980 | 26 |
Entity Name | Teche Action Board Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174579262 PECOS PAC ID: 0648163980 Enrollment ID: O20041109000792 |
Mailing Address | Practice Location Address |
---|---|
Timothy J Pellegrin, PMHNP-BC 1115 Weber St, Franklin, LA 70538-4124 Ph: (337) 828-2550 | Timothy J Pellegrin, PMHNP-BC 1014 W Tunnel Blvd, Houma, LA 70360-4050 Ph: (985) 851-1717 |
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 | |
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020 | |
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017 | |
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786 | |
Shawn M Keller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020 | |
Virginia M Pellegrin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Dunn St, Houma, LA 70360 Phone: 985-876-1714 Fax: 985-868-6549 |