| Hollie Bronson Ortis, NP | |
|
13489 Highway 431 Ste A, Saint Amant, LA 70774-3213 | |
| (225) 765-5500 | |
| (225) 644-2280 |
| Full Name | Hollie Bronson Ortis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 13489 Highway 431 Ste A, Saint Amant, 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 |
|---|---|---|---|
| 1528224425 | NPI | - | NPPES |
| 1362824 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1925 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Entity Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Ascension Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699118505 PECOS PAC ID: 9739320029 Enrollment ID: O20130730000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Hollie Bronson Ortis, NP 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 | Hollie Bronson Ortis, NP 13489 Highway 431 Ste A, Saint Amant, LA 70774-3213 Ph: (225) 765-5500 |
Holly Guillaume Schiele, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13489 Highway 431, Suite A, Saint Amant, LA 70774 Phone: 225-647-8511 Fax: 225-644-5213 | |
Kanisha R Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10714 Highway 431, Saint Amant, LA 70774 Phone: 225-644-0005 Fax: 225-644-0085 | |
Kali Nicholson Schexnayder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13489 Highway 431 Ste A, Saint Amant, LA 70774 Phone: 225-765-5500 Fax: 225-644-2280 |