| Courtney Clark, APRN, FNP-C | |
|
1717 Oak Park Blvd, Lake Charles, LA 70601-8991 | |
| (337) 494-4900 | |
| (337) 494-4963 |
| Full Name | Courtney Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1717 Oak Park Blvd, Lake Charles, 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 |
|---|---|---|---|
| 1467821629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08371 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Urgent Care Llc | 5496908071 | 127 |
| Entity Name | Calcasieu Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215996467 PECOS PAC ID: 4183651425 Enrollment ID: O20050719000705 |
| Entity Name | Orthopaedic Reconstructive Sub-specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255596490 PECOS PAC ID: 7416024633 Enrollment ID: O20080930000139 |
| 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 | Professional Emergency Medicine Management -- Lake Charles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
| Entity Name | Calcasieu Cameron Hospital Medicine Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659764967 PECOS PAC ID: 1557688421 Enrollment ID: O20150402002192 |
| Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
| Entity Name | Sound Physicians Emergency Medicine Of Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396253407 PECOS PAC ID: 1759642739 Enrollment ID: O20180308001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Clark, APRN, FNP-C 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 Ph: (337) 494-4900 | Courtney Clark, APRN, FNP-C 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 Ph: (337) 494-4900 |
Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177 | |
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214 | |
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316 | |
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870 | |
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765 | |
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498 | |
Robert Anthony Conner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 |