| Tracy Thomas Gum, APRN, FNP-BC | |
|
119 Fuselier Rd, Arnaudville, LA 70512-6134 | |
| (225) 936-8990 | |
| Not Available |
| Full Name | Tracy Thomas Gum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 119 Fuselier Rd, Arnaudville, 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 |
|---|---|---|---|
| 1750681920 | NPI | - | NPPES |
| 2144871 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP06308 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN096007-AP06308 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes After Hours Llc | 5496704553 | 26 |
| Entity Name | Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| Entity Name | Baton Rouge Clinic, A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911 |
| Entity Name | Lourdes After Hours Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649297730 PECOS PAC ID: 5496704553 Enrollment ID: O20050114000648 |
| Entity Name | Red Stick Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275705998 PECOS PAC ID: 2062583578 Enrollment ID: O20080611000155 |
| Entity Name | Lake Urgent Care Ascension Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Entity Name | Main Street Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Thomas Gum, APRN, FNP-BC Po Box 618, Arnaudville, LA 70512-0618 Ph: (225) 936-8990 | Tracy Thomas Gum, APRN, FNP-BC 119 Fuselier Rd, Arnaudville, LA 70512-6134 Ph: (225) 936-8990 |
Latoshua Mabre Quebedeaux, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Betty Dr, Arnaudville, LA 70512 Phone: 337-212-4233 | |
Alexandra Lynn Guidry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1151 Coteau Rodaire Hwy, Arnaudville, LA 70512 Phone: 337-290-9065 | |
Mrs. Victoria Jaide Bergeron, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Fuselier Street, Arnaudville, LA 70512 Phone: 337-284-5684 |