| Gwendolyn Leger, NP | |
|
814 S Broadway St, Church Point, LA 70525-4402 | |
| (337) 684-3178 | |
| Not Available |
| Full Name | Gwendolyn Leger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 814 S Broadway St, Church Point, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891076865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN071795 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP06544 (Louisiana) | Primary |
| Entity Name | Eunice Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
| Entity Name | Opelousas Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851 |
| Entity Name | Abbeville Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
| Entity Name | Barousse Family Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811657752 PECOS PAC ID: 2365834835 Enrollment ID: O20220112001882 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolyn Leger, NP 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 Ph: (901) 261-4858 | Gwendolyn Leger, NP 814 S Broadway St, Church Point, LA 70525-4402 Ph: (337) 684-3178 |
Rachel T Qaisieh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 E Ebey St, Church Point, LA 70525 Phone: 337-684-3000 Fax: 337-210-2860 | |
Mr. Fernando Luis Hernandez, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 814 S Broadway St, Church Point, LA 70525 Phone: 337-684-3178 Fax: 337-684-6762 |