| Timothy Joel Stern, FNP-C | |
|
18740 Highway 22, Maurepas, LA 70449 | |
| (225) 698-3435 | |
| Not Available |
| Full Name | Timothy Joel Stern |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 18740 Highway 22, Maurepas, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700261294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08425 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Emergency Physician Associates, Llc | 1759317092 | 71 |
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Riverside Family Medicine Llc | 6002819646 | 2 |
| Entity Name | Professional Emergency Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992758247 PECOS PAC ID: 1759317092 Enrollment ID: O20050708000778 |
| Entity Name | St. John Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265401509 PECOS PAC ID: 4082641303 Enrollment ID: O20050719000541 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Riverside Emergency Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Entity Name | River Oaks Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407448186 PECOS PAC ID: 6901214584 Enrollment ID: O20210420001910 |
| Entity Name | Parish State Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023832870 PECOS PAC ID: 5193252203 Enrollment ID: O20241231000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Joel Stern, FNP-C 18740 Highway 22, Maurepas, LA 70449-3018 Ph: () - | Timothy Joel Stern, FNP-C 18740 Highway 22, Maurepas, LA 70449 Ph: (225) 698-3435 |
Trina M Keller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18740 Highway 22, Maurepas, LA 70449 Phone: 225-698-3435 Fax: 225-698-6446 |