| Laticia Chemeare Beaudoin, NP | |
|
401 E Vaughn Ave, Ruston, LA 71270-5950 | |
| (318) 254-2100 | |
| (318) 254-2728 |
| Full Name | Laticia Chemeare Beaudoin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 401 E Vaughn Ave, Ruston, 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 |
|---|---|---|---|
| 1245837251 | NPI | - | NPPES |
| 1O8931 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | PENDING (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | 1015504 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Texas Physician Services, Pllc | 6305295429 | 215 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Comprehensive Hospitalist Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295062198 PECOS PAC ID: 8022150036 Enrollment ID: O20100128000411 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20150923000991 |
| Entity Name | North Texas Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Laticia Chemeare Beaudoin, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Laticia Chemeare Beaudoin, NP 401 E Vaughn Ave, Ruston, LA 71270-5950 Ph: (318) 254-2100 |
Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500 | |
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866 | |
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 | |
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040 | |
Kambri Phillips, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340 | |
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978 | |
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116 |