| Ms Susan E Miedecke, NP | |
|
5935 Cameron St, Scott, LA 70583-5182 | |
| (337) 264-0326 | |
| (337) 264-0328 |
| Full Name | Ms Susan E Miedecke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 5935 Cameron St, Scott, 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 |
|---|---|---|---|
| 1821103870 | NPI | - | NPPES |
| 1102652 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 03861 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Abbeville General Hospital | Abbeville, LA | Hospital |
| Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Acadia General Hospital | Crowley, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana Gastroenterology Associates Llc | 4789079781 | 28 |
| Entity Name | Louisiana Gastroenterology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366195091 PECOS PAC ID: 4789079781 Enrollment ID: O20220309001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan E Miedecke, NP Po Box 52900, Lafayette, LA 70505-2900 Ph: (337) 264-0326 | Ms Susan E Miedecke, NP 5935 Cameron St, Scott, LA 70583-5182 Ph: (337) 264-0326 |
Mrs. Angela B. Morrison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5935 Cameron St, Scott, LA 70583 Phone: 337-264-0326 Fax: 337-264-0328 | |
Lecy L Albarado, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 913 Alfred St, Scott, LA 70583 Phone: 337-504-3697 | |
Roger Rholdon Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 Cameron St, Scott, LA 70583 Phone: 337-289-6770 | |
Monique Cohen, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 913 Alfred St, Scott, LA 70583 Phone: 337-895-9779 Fax: 337-895-9779 | |
Kortney Jacobsen, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Westgate Road, Scott, LA 70506 Phone: 337-326-4569 | |
Cynthia D Labiche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 913 Alfred St, Scott, LA 70583 Phone: 375-410-0023 Fax: 337-541-0082 |