| 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 |
| Experience | 6 Years |
| Location | 302 W 4th St, Dequincy, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Cameron Hospital Service District | 1052221447 | 43 |
| Dennis G Walker Family Clinic | 9830529684 | 5 |
| 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 |