| Mr Kenneth Lane Gary, NP | |
|
701 Cypress St, Sulphur, LA 70663-5053 | |
| (337) 527-4270 | |
| (337) 527-4288 |
| Full Name | Mr Kenneth Lane Gary |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 701 Cypress St, Sulphur, 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 |
|---|---|---|---|
| 1992849244 | NPI | - | NPPES |
| 1019631 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN094922-AP04928 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Charles Urgent Care | 1052580644 | 14 |
| Imperial Health Llp | 7719886779 | 76 |
| Lcuc Family Physicians Urgent Care Llc | 8325327935 | 11 |
| Entity Name | Imperial Health Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352401 PECOS PAC ID: 7719886779 Enrollment ID: O20040108000257 |
| Entity Name | Lake Charles Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306135892 PECOS PAC ID: 1052580644 Enrollment ID: O20110817000061 |
| Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
| Entity Name | Calcasieu Cameron Hospital Medicine Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659764967 PECOS PAC ID: 1557688421 Enrollment ID: O20150402002192 |
| Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
| Entity Name | Lcuc Family Physicians Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932655784 PECOS PAC ID: 8325327935 Enrollment ID: O20161122000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Lane Gary, NP 4521 Oak Ridge Dr, Sulphur, LA 70665-9379 Ph: (337) 526-2777 | Mr Kenneth Lane Gary, NP 701 Cypress St, Sulphur, LA 70663-5053 Ph: (337) 527-4270 |
Kennetha L Simien, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 High Hope Rd, Sulphur, LA 70663 Phone: 337-527-8140 | |
Mrs. Marilyn Hopson Watson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Stelly Ln, Sulphur, LA 70663 Phone: 337-312-1000 Fax: 337-527-8963 | |
Laken Desonier Kelly, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, 3645 S. Beglis Pkwy, Sulphur, LA 70665 Phone: 337-476-3149 | |
Amanda Kate Dawson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 | |
Mrs. Yvonne Eileen Alexander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Cypress St Ste A, Sulphur, LA 70663 Phone: 337-310-0395 Fax: 337-310-0393 | |
Carly Hillebrandt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, Sulphur, LA 70665 Phone: 337-626-1011 Fax: 337-558-5585 | |
Angie Ewalt Dukes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 1st Ave, Sulphur, LA 70663 Phone: 337-527-6385 Fax: 337-527-3527 |