| Mrs Monique Bianca Declouet-dixon, FNP | |
|
2001 Moss St Ste 1200, Lafayette, LA 70501 | |
| (337) 761-0211 | |
| (337) 227-6272 |
| Full Name | Mrs Monique Bianca Declouet-dixon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2001 Moss St Ste 1200, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336475813 | NPI | - | NPPES |
| 1820105 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP059059 (Louisiana) | Primary |
| Entity Name | Hulin Urgent Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Oak Street Health Physicians Group Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053917948 PECOS PAC ID: 6406261387 Enrollment ID: O20210301000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monique Bianca Declouet-dixon, FNP Po Box 740012, Atlanta, GA 30374-0012 Ph: (312) 733-9730 | Mrs Monique Bianca Declouet-dixon, FNP 2001 Moss St Ste 1200, Lafayette, LA 70501 Ph: (337) 761-0211 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |