Edie B Pourciau, ANP-BC,PMHNP-BC in Lafayette, LA

Edie B Pourciau, ANP-BC,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Lafayette, Louisiana. Her current practice location is 500 Patterson St, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 769-9451.

Edie B Pourciau is licensed to practice in Louisiana (license number AP05466) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659557940.

Contact Information

	Edie B Pourciau, ANP-BC,PMHNP-BC
	500 Patterson St, Lafayette, LA 70501-1849
	(337) 769-9451
	(337) 769-9460

Map and Direction

Provider's Profile

Full Name	Edie B Pourciau
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	500 Patterson St, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659557940
Provider Enumeration Date: 01/16/2008
Last Update Date: 02/06/2026

Medicare PECOS Information:

PECOS PAC ID: 8022088574
Enrollment ID: I20111129000629

Medical Identifiers

Medical identifiers for Edie B Pourciau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659557940	NPI	-	NPPES
11849024	Other	LA	CAQH
1309877	Medicaid	LA
2515256	Other	LA	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN102783 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP05466 (Louisiana)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP05466 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edie B Pourciau allows following entities to bill medicare on her behalf.

Entity Name	Edie Boudreaux Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457769358 PECOS PAC ID: 9234356239 Enrollment ID: O20140815000338

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edie B Pourciau is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Edie B Pourciau, ANP-BC,PMHNP-BC Po Box 9227, New Iberia, LA 70562-9227 Ph: (337) 608-9922	Edie B Pourciau, ANP-BC,PMHNP-BC 500 Patterson St, Lafayette, LA 70501-1849 Ph: (337) 769-9451

Reviews and Comments

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Edie B Pourciau, ANP-BC,PMHNP-BC - Medicare Nurse Practitioner in Lafayette, LA