| Mrs Candice Coco Desselle, APRN | |
|
3330 Masonic Dr, Alexandria, LA 71301-3841 | |
| (318) 483-4090 | |
| Not Available |
| Full Name | Mrs Candice Coco Desselle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3330 Masonic Dr, Alexandria, 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 |
|---|---|---|---|
| 1265970719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | AP09177 (Louisiana) | Primary |
| 163W00000X | Registered Nurse | RN127478 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Louisiana Intensivists Llc | 6002346566 | 12 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Entity Name | Central Louisiana Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308 |
| Entity Name | Central Louisiana Intensivists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225840044 PECOS PAC ID: 6002346566 Enrollment ID: O20250212003711 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Candice Coco Desselle, APRN 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2713 | Mrs Candice Coco Desselle, APRN 3330 Masonic Dr, Alexandria, LA 71301-3841 Ph: (318) 483-4090 |
Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-545-0655 |
Melanie Leonard Taylor, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Macarthur Dr, Alexandria, LA 71301 Phone: 318-448-6800 |
Mrs. Aimee Butler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 Prescott Rd Ste 101, Alexandria, LA 71301 Phone: 318-528-5556 |
Jennifer James, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5920 Coliseum Blvd, Alexandria, LA 71303 Phone: 318-443-9339 Fax: 318-443-9116 |
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2108 Texas Ave Ste 3080, Alexandria, LA 71301 Phone: 318-442-5758 |
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Versailles Blvd, Alexandria, LA 71303 Phone: 318-201-5307 Fax: 318-484-4800 |
Mrs. Heather Renee Rachal, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 Southampton Dr, Alexandria, LA 71303 Phone: 318-777-6887 Fax: 318-545-5226 |