| Holly A Fontenot Umfrid, APRN | |
|
109 Executive Dr, Lake Charles, LA 70611-5328 | |
| (337) 217-0922 | |
| Not Available |
| Full Name | Holly A Fontenot Umfrid |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 109 Executive Dr, Lake Charles, 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 |
|---|---|---|---|
| 1447398631 | NPI | - | NPPES |
| 1315711 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN097876 AP04679 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hulin Urgent Care Services Llc | 6800051285 | 96 |
| Entity Name | Jefferson Davis Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043289572 PECOS PAC ID: 2365496775 Enrollment ID: O20050309000285 |
| Entity Name | Lake Charles Medical Services Family Practice Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396926069 PECOS PAC ID: 1052481504 Enrollment ID: O20080610000427 |
| Entity Name | Hulin Urgent Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly A Fontenot Umfrid, APRN 393 Royer Loop, Sulphur, LA 70663-0217 Ph: (337) 831-5914 | Holly A Fontenot Umfrid, APRN 109 Executive Dr, Lake Charles, LA 70611-5328 Ph: (337) 217-0922 |
Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177 | |
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214 | |
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316 | |
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870 | |
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765 | |
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498 | |
Robert Anthony Conner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 |