| Mrs Emily Andrea Vicknair, FNP | |
|
1214 Coolidge Blvd, Lafayette, LA 70503 | |
| (337) 289-7183 | |
| Not Available |
| Full Name | Mrs Emily Andrea Vicknair |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1214 Coolidge Blvd, Lafayette, 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 |
|---|---|---|---|
| 1740670595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08130 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crowley Emergency Group Llc | 1456572965 | 15 |
| Coolidge Emergency Group Llc | 4880846427 | 20 |
| Ambassador Emergency Group, Llc | 9537168901 | 16 |
| Entity Name | Ambassador Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
| Entity Name | Hulin Urgent Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Coolidge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
| Entity Name | Crowley Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508275538 PECOS PAC ID: 1456572965 Enrollment ID: O20141027002233 |
| Entity Name | St. Bernard Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306386685 PECOS PAC ID: 4789960972 Enrollment ID: O20170425001231 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Emily Andrea Vicknair, FNP 1214 Coolidge Blvd, Lafayette, LA 70503-2621 Ph: () - | Mrs Emily Andrea Vicknair, FNP 1214 Coolidge Blvd, Lafayette, LA 70503 Ph: (337) 289-7183 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |