| Ms Dewana Bobo, | |
|
5326 Oak St., St. Francisville, LA 70775 | |
| (225) 635-5848 | |
| Not Available |
| Full Name | Ms Dewana Bobo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 5326 Oak St., St. Francisville, 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 |
|---|---|---|---|
| 1679612634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP03925 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Feliciana Home Health | Zachary, LA | Home health agency |
| West Feliciana Parish Hospital | Saint francisville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel Services Llc | 7911927249 | 7 |
| Entity Name | Daniel Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053508408 PECOS PAC ID: 7911927249 Enrollment ID: O20051201000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dewana Bobo, Po Box 487, Saint Francisville, LA 70775-0487 Ph: (225) 635-5848 | Ms Dewana Bobo, 5326 Oak St., St. Francisville, LA 70775 Ph: (225) 635-5848 |
Kelli Dooley David, APRN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10273 Gould Drive, St. Francisville, LA 70775 Phone: 225-635-9065 Fax: 225-635-9069 |
Patty C Hayden, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5326 Oak Street, St. Francisville, LA 70775 Phone: 225-635-5848 Fax: 225-635-5842 |