Tisha Dooley, CFNP | |
2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737-5019 | |
(225) 765-5500 | |
(225) 644-5415 |
Full Name | Tisha Dooley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, 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 |
---|---|---|---|
1881692622 | NPI | - | NPPES |
1564877 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP03455 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of The Lake Regional Medical Center | Baton rouge, 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 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 |
---|---|
Tisha Dooley, CFNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0002 | Tisha Dooley, CFNP 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737-5019 Ph: (225) 765-5500 |
Carol B Craig, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-644-2100 Fax: 225-644-5213 | |
Jennifer Jennings Gibson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 | |
Megan Louque Stamps, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737 Phone: 504-465-4550 Fax: 833-222-4520 | |
Racine Dominique Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 W Orice Roth Rd Apt 1510, Gonzales, LA 70737 Phone: 225-348-3997 | |
Thu Anh Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737 Phone: 504-520-0373 | |
Angelle Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 225-644-3264 | |
Maretta Daniel, MSN ,APN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737 Phone: 225-236-5970 |