| Mrs Michelle Marie Civello, NP | |
|
28050 Walker South Rd, Walker, LA 70785-6047 | |
| (225) 664-2111 | |
| (225) 664-2888 |
| Full Name | Mrs Michelle Marie Civello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 28050 Walker South Rd, Walker, 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 |
|---|---|---|---|
| 1396051868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP06133 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Oaks Medical Center Llc | 2466629522 | 261 |
| North Oaks Physician Group Llc | 9133378870 | 59 |
| Entity Name | North Oaks Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
| Entity Name | North Oaks Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427035211 PECOS PAC ID: 9133378870 Enrollment ID: O20121012000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Marie Civello, NP 28050 Walker South Rd, Walker, LA 70785-6047 Ph: (225) 664-2111 | Mrs Michelle Marie Civello, NP 28050 Walker South Rd, Walker, LA 70785-6047 Ph: (225) 664-2111 |
Kori Fogg Juban, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Odonavan Blvd Ste 404, Walker, LA 70785 Phone: 225-369-8100 | |
Mrs. Caitlyn Beaman Piper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30458 Jo Ann St, Walker, LA 70785 Phone: 225-892-5263 | |
Mrs. Catherine Blackwell Holland, ADULT NURSE PRACTITI Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14151 Glen Ellis Rd, Walker, LA 70785 Phone: 225-664-9968 | |
Erin Lagroue, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Odonavan Blvd Ste 404, Walker, LA 70785 Phone: 225-369-8100 Fax: 225-369-8140 | |
Judith Cordsiemon Moore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27999 Old Sth Walker Rd Ste H, Walker, LA 70785 Phone: 225-999-5901 | |
Amy L. Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Odonavan Blvd Ste 404, Walker, LA 70785 Phone: 225-369-8100 |