| Ekara N Wafer-mendenhall, | |
|
611 W 2nd St, Homer, LA 71040-3221 | |
| (318) 265-4542 | |
| (318) 550-4271 |
| Full Name | Ekara N Wafer-mendenhall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 611 W 2nd St, Homer, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811304074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN125342 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | AP07981 (Louisiana) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Entity Name | Divinity Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518719483 PECOS PAC ID: 1850839713 Enrollment ID: O20240812000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Ekara N Wafer-mendenhall, 611 W 2nd St, Homer, LA 71040-3221 Ph: (318) 265-4542 | Ekara N Wafer-mendenhall, 611 W 2nd St, Homer, LA 71040-3221 Ph: (318) 265-4542 |
Camille Thompson Wise, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-1110 Fax: 318-927-1116 | |
Devan R Walker, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-6777 Fax: 318-927-6714 | |
Ashley Simpson Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-1110 Fax: 318-927-1116 | |
Leslie C Brasher, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 911 W Main St, Suite C, Homer, LA 71040 Phone: 318-927-3255 Fax: 318-927-3255 | |
Ms. Helen Denise Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-1110 Fax: 318-927-1116 | |
Mrs. Amelia C Jeter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-6777 Fax: 318-927-6714 |