| Mrs Brenda Lynn Willis, FNP | |
|
919 S 10th St, Leesville, LA 71446-4613 | |
| (337) 239-2207 | |
| (337) 239-2583 |
| Full Name | Mrs Brenda Lynn Willis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 919 S 10th St, Leesville, 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 |
|---|---|---|---|
| 1306461660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 213832 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Leesville, LA | Home health agency |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West State Orthopedics And Sport Medicine | 0446269302 | 2 |
| Professional Pediatrics, Llc | 5698847317 | 5 |
| Entity Name | West State Orthopedics & Sport Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639376031 PECOS PAC ID: 0446269302 Enrollment ID: O20060420000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Lynn Willis, FNP 7946 Highway 10, Pitkin, LA 70656-4567 Ph: (337) 208-1680 | Mrs Brenda Lynn Willis, FNP 919 S 10th St, Leesville, LA 71446-4613 Ph: (337) 239-2207 |
Carrie Ormsby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 S 3rd St, Leesville, LA 71446 Phone: 337-404-4075 | |
Miss Decora R Franklin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 929 Verone Ter, Leesville, LA 71446 Phone: 337-282-1091 Fax: 337-404-1461 | |
Joely Thornhill Schroder, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1603 Boone St Ste A, Leesville, LA 71446 Phone: 337-238-1274 | |
Mrs. Jennifer B Carlock, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1100 Nolan Trace, Leesville, LA 71446 Phone: 337-238-5180 Fax: 337-238-4840 | |
Cathy Price, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3800 | |
Amanda Kyle Brown, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 919 S 10th St, Leesville, LA 71446 Phone: 337-239-2207 Fax: 337-239-2583 |