| Brenda Proctor, | |
|
3975 I-49 Frontage Road, Suite 105, Opelousas, LA 70570-9999 | |
| (337) 594-0750 | |
| Not Available |
| Full Name | Brenda Proctor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3975 I-49 Frontage Road, Opelousas, Louisiana |
| 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 |
|---|---|---|---|
| 1790169928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08457 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Urgent Care Llc | 5496908071 | 127 |
| Louisiana Vascular Limb Salvage And Cardiology Apmc | 5799123618 | 4 |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Main Street Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749 |
| Entity Name | Checkup Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790226611 PECOS PAC ID: 0446536288 Enrollment ID: O20170411001139 |
| Entity Name | Louisiana Vascular Limb Salvage And Cardiology Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417712043 PECOS PAC ID: 5799123618 Enrollment ID: O20240410002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Proctor, 46 Louis Prima Dr, Ste A, Covington, LA 70433-5903 Ph: (985) 892-7070 | Brenda Proctor, 3975 I-49 Frontage Road, Suite 105, Opelousas, LA 70570-9999 Ph: (337) 594-0750 |
Mrs. Christina Miller Guillory, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Hospital Dr Ste 5, Opelousas, LA 70570 Phone: 337-678-4285 Fax: 337-942-9956 | |
Kyle Marcus Duhon, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-948-3011 | |
Mrs. Allison Miller Deshotel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-407-4541 Fax: 337-407-4542 | |
Jimmy Legros Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3975 I 49 S Service Rd, 234, Opelousas, LA 70570 Phone: 337-942-8694 Fax: 337-942-8696 | |
Aimee D Delahoussaye, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 823 N Union St, Opelousas, LA 70570 Phone: 337-678-3085 Fax: 337-678-0627 | |
Laykin Bellard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 Phone: 337-407-2795 | |
Sharon Elizabeth Addington, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 Wayne Gilmore Cir Ste 450, Opelousas, LA 70570 Phone: 337-942-3006 Fax: 337-942-7744 |