| Jill Vidrine, NP | |
|
3311 Prescott Rd Ste 411, Alexandria, LA 71301-3985 | |
| (318) 448-5310 | |
| (318) 448-7110 |
| Full Name | Jill Vidrine |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 3311 Prescott Rd Ste 411, Alexandria, 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 |
|---|---|---|---|
| 1558885160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09462 (Louisiana) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | AP09462 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avoyelles Hospital | Marksville, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Christus Central Louisiana Surgical Hospital | Alexandria, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alexandria Gastrointestinal Specialists, Llc | 8729116645 | 4 |
| Christus Health Central Louisiana | 4688570955 | 46 |
| Cenla Physicians | 5799184081 | 11 |
| Entity Name | Christus Health Central Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497895130 PECOS PAC ID: 4688570955 Enrollment ID: O20070615000135 |
| Entity Name | Alexandria Gastrointestinal Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902136328 PECOS PAC ID: 8729116645 Enrollment ID: O20100513000180 |
| Entity Name | Cenla Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841872355 PECOS PAC ID: 5799184081 Enrollment ID: O20210518001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Vidrine, NP 3311 Prescott Rd Ste 411, Alexandria, LA 71301-3985 Ph: (318) 448-5310 | Jill Vidrine, NP 3311 Prescott Rd Ste 411, Alexandria, LA 71301-3985 Ph: (318) 448-5310 |