| Gabrielle Rutherford, | |
|
1203 S Tyler St Ste 200, Covington, LA 70433-2353 | |
| (985) 892-9143 | |
| (985) 892-9656 |
| Full Name | Gabrielle Rutherford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1203 S Tyler St Ste 200, Covington, 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 |
|---|---|---|---|
| 1609227974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 207538 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulfsouth Pulmonology Llc | 8325398696 | 3 |
| Entity Name | Gulfsouth Hospital Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871097766 PECOS PAC ID: 6901151984 Enrollment ID: O20180614002079 |
| Entity Name | Gulfsouth Pulmonology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912404930 PECOS PAC ID: 8325398696 Enrollment ID: O20180906003029 |
| Entity Name | Slr Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679049241 PECOS PAC ID: 8426396144 Enrollment ID: O20190205001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Rutherford, Po Box 669379, Dallas, TX 75266-9379 Ph: () - | Gabrielle Rutherford, 1203 S Tyler St Ste 200, Covington, LA 70433-2353 Ph: (985) 892-9143 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Allen Trent Herring, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-3800 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 |