| Mr Jonathan D Brewer, PA | |
|
4864 Jackson St, Monroe, LA 71202-6400 | |
| (318) 330-7626 | |
| (318) 330-7648 |
| Full Name | Mr Jonathan D Brewer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4864 Jackson St, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043359706 | NPI | - | NPPES |
| 1781371 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA.A10437.RX (Louisiana) | Primary |
| Entity Name | Louisiana State University Health Sciences Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
| Entity Name | Webster Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245209527 PECOS PAC ID: 2961448170 Enrollment ID: O20050628000996 |
| Entity Name | Brfhh Monroe LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | LSU Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan D Brewer, PA 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7626 | Mr Jonathan D Brewer, PA 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7626 |
Marquis Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Mr. Jeb Andrews, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2509 Broadmoor Blvd, Ste B, Monroe, LA 71201 Phone: 878-381-3823 |
Shannon Kathleen Chappell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Erin N Cantu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2804 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-0033 |
Michael Kyle Hendricks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-2397 |
Miss Logan Jannell Rhodes, Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |
Terry Roger Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd, Monroe, LA 71201 Phone: 318-812-7559 Fax: 318-812-7563 |