| Benjamin James Colvin, | |
|
641 Rowena St, Montgomery, LA 71454-6313 | |
| (318) 646-3000 | |
| (318) 646-3003 |
| Full Name | Benjamin James Colvin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 641 Rowena St, Montgomery, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730425281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07366 (Louisiana) | Primary |
| 163W00000X | Registered Nurse | 120031 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Louisiana Homecare Of Alexandria | Alexandria, LA | Home health agency |
| Lagniappe Homecare Northwest Louisiana | Natchitoches, LA | Home health agency |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Rapides Regional Medical Center | Alexandria, LA | Hospital |
| Entity Name | Bjc Healthcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730429952 PECOS PAC ID: 1153603519 Enrollment ID: O20180419000312 |
| Entity Name | Dry Prong Family Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928277 PECOS PAC ID: 1759631591 Enrollment ID: O20180829001047 |
| Entity Name | Benjamin Colvin Np |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205633450 PECOS PAC ID: 7517483555 Enrollment ID: O20250502000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin James Colvin, 105 Commanche Trl, Pineville, LA 71360-4403 Ph: (318) 663-4914 | Benjamin James Colvin, 641 Rowena St, Montgomery, LA 71454-6313 Ph: (318) 646-3000 |