| Mr Matthew Brent Wegner, APRN, FNP-C | |
|
101 Professional Dr, West Monroe, LA 71291-8309 | |
| (318) 387-5244 | |
| (318) 398-9986 |
| Full Name | Mr Matthew Brent Wegner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 101 Professional Dr, West 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 |
|---|---|---|---|
| 1518949650 | NPI | - | NPPES |
| 1787132 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP04788 (Louisiana) | Primary |
| Entity Name | Ed Physicians Of West Louisiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255460143 PECOS PAC ID: 4880795665 Enrollment ID: O20070724000101 |
| Entity Name | Specialty Infusion Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750933230 PECOS PAC ID: 9931532116 Enrollment ID: O20191202000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Brent Wegner, APRN, FNP-C 325 Evergreen St, West Monroe, LA 71292-6458 Ph: (318) 512-4443 | Mr Matthew Brent Wegner, APRN, FNP-C 101 Professional Dr, West Monroe, LA 71291-8309 Ph: (318) 387-5244 |
Ms. Kitty Kervin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Regency Pl, West Monroe, LA 71291 Phone: 318-812-9999 Fax: 318-323-9339 | |
Natalie Demoss, APRN-CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4624 Cypress St Ste 7, West Monroe, LA 71291 Phone: 318-512-4112 Fax: 318-570-5903 | |
Mary Katherine Cantrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Thomas Rd Ste 203, West Monroe, LA 71291 Phone: 318-255-3690 | |
Mrs. Jennifer Elliott Creel, ACNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Thomas Rd, Suite 104, West Monroe, LA 71291 Phone: 318-329-8485 | |
Ms. Cherry M. Patton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2601 North 7th, Suite 100, West Monroe, LA 71291 Phone: 318-582-5208 Fax: 318-582-5216 | |
Mrs. Monica Denise Coplin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Cypress St, Suite 9, West Monroe, LA 71291 Phone: 318-322-9252 Fax: 318-322-2885 | |
Mr. Todd R Hilton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Northwood Dr, West Monroe, LA 71291 Phone: 318-327-6325 Fax: 318-327-7359 |