| Savannah Pontiff, | |
|
128 Neuroscience Ct, Gray, LA 70359-5209 | |
| (985) 917-3007 | |
| Not Available |
| Full Name | Savannah Pontiff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 128 Neuroscience Ct, Gray, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396568812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 237588 (Louisiana) | Primary |
| Entity Name | Southeast Neuroscience Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285630129 PECOS PAC ID: 9032010558 Enrollment ID: O20040505000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Savannah Pontiff, 128 Neuroscience Ct, Gray, LA 70359-5209 Ph: () - | Savannah Pontiff, 128 Neuroscience Ct, Gray, LA 70359-5209 Ph: (985) 917-3007 |
Lisa Boudreaux Mimnagh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Gainesville Dr, Gray, LA 70359 Phone: 985-790-2568 | |
Kristy Hebert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Melissa G Marcombe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Innovation Ct Ste A, Gray, LA 70359 Phone: 985-303-4100 Fax: 985-303-4101 | |
Jeanette L Naquin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Neuroscience Ct, Gray, LA 70359 Phone: 985-917-3007 Fax: 985-917-3010 | |
M'lea Talbot, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 Fax: 985-580-1218 | |
Mr. Darin R Branson, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 W Main St, Gray, LA 70359 Phone: 985-360-3781 Fax: 985-360-3782 | |
Ms. Andree Elizabeth Leblanc, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 |