| Tyra Brown, PA-C | |
|
1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | |
| (504) 842-4025 | |
| (504) 842-7756 |
| Full Name | Tyra Brown |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1221 S Clearview Pkwy, Jefferson, 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 |
|---|---|---|---|
| 1275187874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 320845 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Spine And Pain Specialists | 0547569840 | 12 |
| 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 |
| Entity Name | WK Spine & Pain Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982065645 PECOS PAC ID: 0547569840 Enrollment ID: O20160506001862 |
| Entity Name | LSU Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | University Health Shreveport, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyra Brown, PA-C 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Tyra Brown, PA-C 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 Ph: (504) 842-4025 |
Miss Heather Alexander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-0434 |
Katherine Broussard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-579-6504 |
Jordan Owens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 866-624-7637 |
Sydney Forsythe, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |
Kelly Kincaide, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |
Varsha Castro Gusman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-975-8259 |
Rachel Abigail Mata, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 River Rd, Jefferson, LA 70121 Phone: 866-624-7637 |