| Jere Welch Thompson, APRN-FNP | |
|
188 Burt Blvd, Benton, LA 71006-4900 | |
| (318) 965-5017 | |
| (318) 965-5019 |
| Full Name | Jere Welch Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 188 Burt Blvd, Benton, 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 |
|---|---|---|---|
| 1366730558 | NPI | - | NPPES |
| 2164023 | Medicaid | LA | |
| 721501844 | Other | LA | TRICARE/HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP06637 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Caddo Medical Center | Vivian, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benton Medical | 1456669654 | 3 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
| Entity Name | Benton Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
| Entity Name | Blanchard Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Jere Welch Thompson, APRN-FNP 188 Burt Blvd, Benton, LA 71006-4900 Ph: (318) 965-5017 | Jere Welch Thompson, APRN-FNP 188 Burt Blvd, Benton, LA 71006-4900 Ph: (318) 965-5017 |
April Moody, APRN-PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 188 Burt Blvd, Benton, LA 71006 Phone: 318-965-5017 Fax: 318-965-5019 | |
Courtney Brooks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Family Cir, Benton, LA 71006 Phone: 318-355-8176 Fax: 817-761-7132 |