Tresa C Wallace, WHNP | |
110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 | |
(504) 309-2576 | |
(504) 309-2589 |
Full Name | Tresa C Wallace |
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Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 110 Bellemeade Blvd., Gretna, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245673565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP07277 (Louisiana) | Primary |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Entity Name | University Medical Center Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
Entity Name | Jeffcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518383785 PECOS PAC ID: 7911125513 Enrollment ID: O20140827000480 |
Mailing Address | Practice Location Address |
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Tresa C Wallace, WHNP 100 Orange Blossom Ct, Belle Chasse, LA 70037-1649 Ph: (504) 782-0673 | Tresa C Wallace, WHNP 110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 Ph: (504) 309-2576 |
Mrs. Jae Eun Marchese, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 605 Lapalco Blvd # 1b, Gretna, LA 70056 Phone: 504-371-9355 Fax: 504-371-6557 | |
Mrs. Samantha Lee Lovecchio, CPNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Ochsner Blvd Ste 245, Gretna, LA 70056 Phone: 504-391-7690 | |
Rakita Reeves Julien, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ochsner Blvd, Gretna, LA 70056 Phone: 504-391-8896 Fax: 504-595-8013 | |
Hattie R. Dobson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Belle Chasse Hwy, B-2, Gretna, LA 70056 Phone: 504-349-2273 Fax: 504-349-6160 | |
Ms. Adiaha Njeri Mboup Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-391-5454 | |
Sereen Askar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Lapalco Blvd, Gretna, LA 70056 Phone: 504-458-1897 | |
Leah Bowers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Hector Ave, Gretna, LA 70056 Phone: 504-349-6925 Fax: 504-362-5310 |