| Ms Perry Russell, FNP-C | |
|
1520 Highway 22 W, Madisonville, LA 70447 | |
| (985) 773-1600 | |
| Not Available |
| Full Name | Ms Perry Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1520 Highway 22 W, Madisonville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437572344 | NPI | - | NPPES |
| 2381199 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07653 (Louisiana) | Primary |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003 |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Perry Russell, FNP-C 1520 Highway 22 W, Madisonville, LA 70447-9441 Ph: (985) 773-1600 | Ms Perry Russell, FNP-C 1520 Highway 22 W, Madisonville, LA 70447 Ph: (985) 773-1600 |
Brianne Lagasse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 Kristian Ct, Madisonville, LA 70447 Phone: 985-951-9932 Fax: 985-871-9094 | |
Jason Allen Green, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Ashland Way Ste 1, Madisonville, LA 70447 Phone: 985-871-5955 | |
Nicky Culotta, AGACNP-BC, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 552 Kristian Ct, Madisonville, LA 70447 Phone: 504-858-6335 | |
Carly Hollrah, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 179 Highway 22 E Unit 300, Madisonville, LA 70447 Phone: 985-353-0394 | |
Heather Jaet Simon, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Brewster Rd, Madisonville, LA 70447 Phone: 985-845-1985 Fax: 985-256-5687 | |
Mrs. Jena M Conquergood, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 Swift Fox Run, Madisonville, LA 70447 Phone: 228-493-0148 | |
Nacole Diaz, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 633 Piney Ridge Cir, Madisonville, LA 70447 Phone: 504-701-2875 |