| Bryan D Tate Jr, FNP-C | |
|
919 Avenue G, Kentwood, LA 70444 | |
| (985) 229-0202 | |
| (985) 229-2859 |
| Full Name | Bryan D Tate Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 919 Avenue G, Kentwood, 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 |
|---|---|---|---|
| 1407177348 | NPI | - | NPPES |
| 2115014 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN102323 AP06135 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | AP06135 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Audubon Home Health Of Hammond | Hammond, LA | Home health agency |
| Hood Memorial Hospital | Amite, LA | Hospital |
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Tangi Pines Nursing Center | Amite, LA | Nursing home |
| Entity Name | Kentwood Family Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780050294 PECOS PAC ID: 4082923099 Enrollment ID: O20151014000474 |
| Entity Name | Schilling Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710693437 PECOS PAC ID: 0840662961 Enrollment ID: O20230217001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan D Tate Jr, FNP-C 75136 N River Rd, Kentwood, LA 70444-3800 Ph: (985) 229-0202 | Bryan D Tate Jr, FNP-C 919 Avenue G, Kentwood, LA 70444 Ph: (985) 229-0202 |
Kizzy Woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2003 | |
Nikita Pearl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 888-414-7247 | |
Geneva Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2100 | |
Dr. Kerneisha Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Avenue G, Kentwood, LA 70444 Phone: 337-603-6364 Fax: 985-545-2009 | |
Jennifer St. Romain, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 985-229-5501 Fax: 985-229-6828 | |
Jalexia Deann Diamond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 813 Fisher Ln, Kentwood, LA 70444 Phone: 985-662-8659 |