| Victoria Jacobsen Hart, PA-C | |
|
2390 W Congress St, Lafayette, LA 70506-4205 | |
| (337) 261-8526 | |
| Not Available |
| Full Name | Victoria Jacobsen Hart |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2390 W Congress St, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205206422 | NPI | - | NPPES |
| 200893 | Other | LA | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 200893 (Louisiana) | Primary |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Congress Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912316944 PECOS PAC ID: 1557580354 Enrollment ID: O20140909002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Jacobsen Hart, PA-C 302 Sylvester Dr, Youngsville, LA 70592-6656 Ph: (337) 298-0227 | Victoria Jacobsen Hart, PA-C 2390 W Congress St, Lafayette, LA 70506-4205 Ph: (337) 261-8526 |
Stefanie Hummel Theriot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Patriot St Ste 101, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174 |
Kevin Kathleen M Menard, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-234-5234 |
Todd A Devalcourt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 |
Banee Madison, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-561-9100 |
Ms. Justine Michelle Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Wilson St, Lafayette, LA 70503 Phone: 337-456-6523 Fax: 337-456-6521 |
Jason R Comeaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 |
Madison Rae Bolgiano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3220 |