| Jessica D Daigle, PA-C | |
|
617 Piat Rd, Youngsville, LA 70592-6438 | |
| (337) 419-3005 | |
| (337) 419-0358 |
| Full Name | Jessica D Daigle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 617 Piat Rd, Youngsville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821506726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 307646 (Louisiana) | Primary |
| Entity Name | Bob Winston MD PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891864161 PECOS PAC ID: 0345212742 Enrollment ID: O20040806000831 |
| Entity Name | Tele Med Clinix LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780204305 PECOS PAC ID: 3577958693 Enrollment ID: O20230828001642 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica D Daigle, PA-C 617 Piat Rd, Youngsville, LA 70592-6438 Ph: (337) 419-3005 | Jessica D Daigle, PA-C 617 Piat Rd, Youngsville, LA 70592-6438 Ph: (337) 419-3005 |
Laura Ann Frollo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2810 Bonin Rd, Youngsville, LA 70592 Phone: 337-857-5765 |
Alanna Lynn Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Central Village Way, Youngsville, LA 70592 Phone: 985-258-0445 |