| Mark W Wright, NP | |
|
191 Innovation Ct Ste A, Gray, LA 70359-3131 | |
| (985) 303-4100 | |
| (985) 303-4101 |
| Full Name | Mark W Wright |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 191 Innovation Ct Ste A, Gray, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770772170 | NPI | - | NPPES |
| 1031101 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP05300 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Medical Group | 4688977549 | 10 |
| Entity Name | Cardiovascular Institute Of The South, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982689113 PECOS PAC ID: 3779497441 Enrollment ID: O20031117000706 |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205210838 PECOS PAC ID: 4688977549 Enrollment ID: O20160127000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Wright, NP 191 Innovation Ct Ste A, Gray, LA 70359-3131 Ph: (985) 303-4100 | Mark W Wright, NP 191 Innovation Ct Ste A, Gray, LA 70359-3131 Ph: (985) 303-4100 |
Lisa Boudreaux Mimnagh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Gainesville Dr, Gray, LA 70359 Phone: 985-790-2568 | |
Kristy Hebert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Melissa G Marcombe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Innovation Ct Ste A, Gray, LA 70359 Phone: 985-303-4100 Fax: 985-303-4101 | |
Jeanette L Naquin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Neuroscience Ct, Gray, LA 70359 Phone: 985-917-3007 Fax: 985-917-3010 | |
M'lea Talbot, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 Fax: 985-580-1218 | |
Mr. Darin R Branson, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Ms. Andree Elizabeth Leblanc, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 |