| Shanedolyn Grover, NP | |
|
827 N Pine St, Gramercy, LA 70052-3602 | |
| (225) 869-9200 | |
| (225) 869-9241 |
| Full Name | Shanedolyn Grover |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 827 N Pine St, Gramercy, 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 |
|---|---|---|---|
| 1568900868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09173 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Parish Hospital | Luling, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanedolyn Grover, NP 827 N Pine St, Gramercy, LA 70052-3602 Ph: (225) 869-9200 | Shanedolyn Grover, NP 827 N Pine St, Gramercy, LA 70052-3602 Ph: (225) 869-9200 |
Chad M Madere, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 | |
Holly Martin Millet, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 | |
Mrs. Brandi Boudreaux Payne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 |