| Lalisa Wade, FAMILY NURSE PRACTIT | |
|
307 Chisum St, Sicily Island, LA 71368-4807 | |
| (318) 389-5727 | |
| (318) 389-9943 |
| Full Name | Lalisa Wade |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 307 Chisum St, Sicily Island, 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 |
|---|---|---|---|
| 1710161385 | NPI | - | NPPES |
| 1632671 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN101774 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP05320 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Medical Center | Winnsboro, LA | Hospital |
| Riverland Medical Center | Ferriday, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catahoula Parish Hospital District No 2 | 8729067434 | 15 |
| Entity Name | Catahoula Parish Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770622631 PECOS PAC ID: 8729067434 Enrollment ID: O20040716000202 |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Lalisa Wade, FAMILY NURSE PRACTIT Po Box 8, Sicily Island, LA 71368-0008 Ph: (318) 389-5727 | Lalisa Wade, FAMILY NURSE PRACTIT 307 Chisum St, Sicily Island, LA 71368-4807 Ph: (318) 389-5727 |
Ms. Carolyn Cardin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-9943 | |
Mr. Hugh G Arnold, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Chisum Street, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028 | |
Summer Leigh Greer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028 | |
Mrs. Donnah Bradford Barlow, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028 | |
Mr. Jacob Victor Crawford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028 |