| Mrs Amanda Jane Pitre, APRN | |
|
302 W 4th St, Dequincy, LA 70633-3404 | |
| (337) 222-5524 | |
| Not Available |
| Full Name | Mrs Amanda Jane Pitre |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 302 W 4th St, Dequincy, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659946416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 218816 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | 218816 (Louisiana) | Primary |
| 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 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 | Dennis G Walker Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760015721 PECOS PAC ID: 9830529684 Enrollment ID: O20200420001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Jane Pitre, APRN 302 W 4th St, Dequincy, LA 70633-3404 Ph: (337) 222-5524 | Mrs Amanda Jane Pitre, APRN 302 W 4th St, Dequincy, LA 70633-3404 Ph: (337) 222-5524 |
Julie E Thorn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 Fax: 337-786-7999 | |
Robin Shirley Bedgood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 |