| Breanne Nichole Lawrence, NP | |
|
5321 S Fm 14, Hawkins, TX 75765-4839 | |
| (903) 769-2990 | |
| (903) 769-5125 |
| Full Name | Breanne Nichole Lawrence |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5321 S Fm 14, Hawkins, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609554997 | NPI | - | NPPES |
| 300081344 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1229794 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 71014280A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Kokomo, IN | Home health agency |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 138 |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanne Nichole Lawrence, NP 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Breanne Nichole Lawrence, NP 5321 S Fm 14, Hawkins, TX 75765-4839 Ph: (903) 769-2990 |
Heather Marie Sheppard, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5321 S Fm 14, Hawkins, TX 75765 Phone: 903-769-2990 | |
Dr. Yvette Levingston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5321 S Fm 14, Hawkins, TX 75765 Phone: 903-769-2990 | |
Kelsey Danielle Sheeley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5321 S Fm 14, Hawkins, TX 75765 Phone: 903-769-2990 | |
Jessica Dawn Havir, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5321 S Fm 14, Hawkins, TX 75765 Phone: 903-769-2990 |