| Anna M Gore, APRN-CNP | |
|
602 N Acadia Rd, Thibodaux, LA 70301-4823 | |
| (985) 447-5500 | |
| Not Available |
| Full Name | Anna M Gore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 602 N Acadia Rd, 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 |
|---|---|---|---|
| 1902366206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 203749 (Louisiana) | Primary |
| Entity Name | St Tammany Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
| Entity Name | Washington Parish Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | Thibodaux Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568910503 PECOS PAC ID: 2769760537 Enrollment ID: O20161028001769 |
| Entity Name | Riverside Emergency Physician Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M Gore, APRN-CNP Po Box 720487, Norman, OK 73070-4358 Ph: (877) 485-4474 | Anna M Gore, APRN-CNP 602 N Acadia Rd, Thibodaux, LA 70301-4823 Ph: (985) 447-5500 |
Rebecca Ann Melancon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 |
Mrs. Emily Rivet Landry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled 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 |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4004 |
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: May Accept Medicare Assignments Practice Location: 126 Rue Colette, Thibodaux, LA 70301 Phone: 985-625-0023 |
Dwayne Andras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4740 Fax: 985-449-2535 |