| Carolyn Lewis Moore, FNP | |
|
40546 Highway 42, Prairieville, LA 70769-5250 | |
| (225) 744-4988 | |
| (225) 622-9966 |
| Full Name | Carolyn Lewis Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 40546 Highway 42, Prairieville, 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 |
|---|---|---|---|
| 1750316758 | NPI | - | NPPES |
| 1567981 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN075293 AP03576 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Urgent Care Ascension Llc | 0244479095 | 23 |
| Entity Name | Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| Entity Name | Lake Urgent Care Ascension Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Lewis Moore, FNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 744-4988 | Carolyn Lewis Moore, FNP 40546 Highway 42, Prairieville, LA 70769-5250 Ph: (225) 744-4988 |
Dr. Shantell Burns, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16270 Airline Hwy Ste D, Prairieville, LA 70769 Phone: 225-402-2299 Fax: 866-258-9870 | |
Angie Bringaze, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16158 Airline Hwy Ste 102, Prairieville, LA 70769 Phone: 225-636-2603 | |
Mrs. Holly Valentine, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37283 Swamp Rd Ste 1102, Prairieville, LA 70769 Phone: 225-245-9355 Fax: 225-536-9355 | |
Darbie Joffrion, MSN, APRN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769 Phone: 225-647-8511 Fax: 225-743-2085 | |
Mr. Daniel Jude Schnebelen, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14350 La Highway 73, Prairieville, LA 70769 Phone: 225-313-3930 Fax: 225-313-3940 | |
Mr. Lee M Simon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16158 Airline Hwy Ste 103, Prairieville, LA 70769 Phone: 225-963-9355 Fax: 225-314-9355 | |
Kady Millican Lato, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17581 Old Jefferson Hwy, Prairieville, LA 70769 Phone: 225-755-9779 Fax: 225-452-0006 |