Divinity Healthcare Services in Homer, LA - Medicare Nurse Practitioner

Divinity Healthcare Services is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Homer, Louisiana. The current practice location for Divinity Healthcare Services is 611 W 2nd St, Homer, Louisiana. For appointments, you can reach them via phone at (318) 265-4542. The mailing address for Divinity Healthcare Services is 611 W 2nd St, Homer, Louisiana and phone number is (318) 265-4542.

Divinity Healthcare Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518719483. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 265-4542.

Contact Information

	Divinity Healthcare Services
	611 W 2nd St Homer LA 71040-3221
	(318) 265-4542
	(318) 550-4271

Map and Direction

Primary Care Clinic Profile

Full Name	Divinity Healthcare Services
Speciality	Nurse Practitioner
Location	611 W 2nd St, Homer, Louisiana
Authorized Official Name and Position	Ekara Wafer-mendenhall (CEO/ OWNER)
Authorized Official Contact	3182654542
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Divinity Healthcare Services 611 W 2nd St Homer LA 71040-3221 Ph: (318) 265-4542	Divinity Healthcare Services 611 W 2nd St Homer LA 71040-3221 Ph: (318) 265-4542

NPI Details:

NPI Number	1518719483
Provider Enumeration Date	04/03/2024
Last Update Date	12/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1850839713
Medicare Enrollment ID	O20240812000034

Medical Identifiers

Medical identifiers for Divinity Healthcare Services such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518719483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Divinity Healthcare Services acts as a billing entity for following providers:

Provider Name	Ekara Wafer-mendenhall
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1811304074 PECOS PAC ID: 3971822305 Enrollment ID: I20150506000216

Reviews and Comments

Nurse Practitioner in Homer, LA

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Homer Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 W Main St, Homer, LA 71040 Phone: 318-927-3571
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Morris Circle, Homer, LA 71040 Phone: 318-927-1110 Fax: 318-927-1116

Divinity Healthcare Services - Medicare Primary Care in Homer, LA