| Bryan Joey Fonseca, PMHNP | |
|
805 Barrow St Ste 3, Houma, LA 70360-4722 | |
| (985) 857-3615 | |
| Not Available |
| Full Name | Bryan Joey Fonseca |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 805 Barrow St Ste 3, Houma, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417754284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 210513 (Louisiana) | Primary |
| Entity Name | South Central La Human Services Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104250265 PECOS PAC ID: 7810129871 Enrollment ID: O20140407001422 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Joey Fonseca, PMHNP 129 Loblolly Pine Dr, Gray, LA 70359-2303 Ph: (985) 665-7404 | Bryan Joey Fonseca, PMHNP 805 Barrow St Ste 3, Houma, LA 70360-4722 Ph: (985) 857-3615 |
Laura Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 855 Belanger St Ste 108, Houma, LA 70360 Phone: 985-868-2302 | |
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 | |
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020 | |
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017 | |
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786 | |
Shawn M Keller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020 |