Tracy Ruth Gallagher, CPNP | |
931 N Canal Blvd, Thibodaux, LA 70301-8095 | |
(985) 446-6381 | |
Not Available |
Full Name | Tracy Ruth Gallagher |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 931 N Canal Blvd, Thibodaux, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396888970 | NPI | - | NPPES |
1004529 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | APO5128 (Louisiana) | Primary |
Entity Name | Convenient Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
Entity Name | Family Healthcare Of Loranger Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992172621 PECOS PAC ID: 9133436967 Enrollment ID: O20150911000284 |
Mailing Address | Practice Location Address |
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Tracy Ruth Gallagher, CPNP 931 N Canal Blvd, Thibodaux, LA 70301-8095 Ph: (985) 446-6381 | Tracy Ruth Gallagher, CPNP 931 N Canal Blvd, Thibodaux, LA 70301-8095 Ph: (985) 446-6381 |
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 | |
Ms. Sandra Lee Brommeland Gonzalez, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Audubon Ave, Thibodaux, LA 70301 Phone: 985-857-3615 Fax: 941-295-7336 |