| Mr Herndon Martin Jeansonne Ii, APRN | |
|
1007 Sycamore St, Cottonport, LA 71327-3403 | |
| (318) 876-3696 | |
| (318) 876-3211 |
| Full Name | Mr Herndon Martin Jeansonne Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 1007 Sycamore St, Cottonport, 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 |
|---|---|---|---|
| 1114002698 | NPI | - | NPPES |
| 1448575 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APO4678 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avoyelles Hospital | Marksville, LA | Hospital |
| Bunkie General Hospital | Bunkie, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana Health Care Practitioners,llc | 5597767244 | 9 |
| Entity Name | Louisiana Health Care Practitioners,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811065220 PECOS PAC ID: 5597767244 Enrollment ID: O20070320000485 |
| Entity Name | Collective Rural Healthcare System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841908761 PECOS PAC ID: 1254701121 Enrollment ID: O20230111000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Herndon Martin Jeansonne Ii, APRN 1007 Sycamore St, Cottonport, LA 71327-3403 Ph: (318) 876-3696 | Mr Herndon Martin Jeansonne Ii, APRN 1007 Sycamore St, Cottonport, LA 71327-3403 Ph: (318) 876-3696 |
Jarod Huffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Jamie Garrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 | |
Shannon Rozas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Kristen Bordelon Jeansonne, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1007 Sycamore St Ste B, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-964-2554 | |
Lauren Wiley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 |