| Miyagi Henderson, | |
|
2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130 | |
| (504) 229-7454 | |
| Not Available |
| Full Name | Miyagi Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2104 Gause Blvd W, Slidell, 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 |
|---|---|---|---|
| 1588293518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP215714 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| E. M. Dimitri, D.o. Pmc. | 4284722059 | 15 |
| E. M. Dimitri, D.o. Pmc. | 4284722059 | 15 |
| Entity Name | E. M. Dimitri, D.o. Pmc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821285974 PECOS PAC ID: 4284722059 Enrollment ID: O20071116000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Miyagi Henderson, Po Box 7020, Slidell, LA 70469-7020 Ph: (985) 643-4575 | Miyagi Henderson, 2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130 Ph: (504) 229-7454 |
Richard Todd Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-643-2200 | |
Ms. Jaime Rebecca Loebner, MSN, FPMHNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Christian Ln, Slidell, LA 70458 Phone: 985-781-7353 | |
Laura Janette Pichon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-8743 | |
Ms. Holly Lorraine Solnick, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1340 Gause Blvd., W, Slidell, LA 70460 Phone: 985-781-7577 Fax: 985-781-7579 | |
Mrs. Jeanne Bienvenu Dakin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5488 Fax: 985-646-5720 | |
Kira Gilmore Smith, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 Phone: 985-645-9000 | |
Rachel Gardette, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 370 Gateway Dr Ste B, Slidell, LA 70461 Phone: 985-290-2135 |