| Cypress Medical Solutions Llc | |
|
435 Corporate Dr Ste 301 Houma LA 70360-2498 | |
| (985) 855-0945 | |
| Not Available |
| Full Name | Cypress Medical Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 435 Corporate Dr Ste 301, Houma, Louisiana |
| Authorized Official Name and Position | Craig Wade (OWNER) |
| Authorized Official Contact | 9853813811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Medical Solutions Llc 435 Corporate Dr Ste 301 Houma LA 70360-2498 Ph: (985) 855-0945 | Cypress Medical Solutions Llc 435 Corporate Dr Ste 301 Houma LA 70360-2498 Ph: (985) 855-0945 |
| NPI Number | 1447904479 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 0042607095 |
|---|---|
| Medicare Enrollment ID | O20220422000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447904479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason S Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396883021 PECOS PAC ID: 3476658154 Enrollment ID: I20070425000429 |
| Provider Name | Craig R Wade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235422239 PECOS PAC ID: 8820213234 Enrollment ID: I20140828001642 |
| Provider Name | Donna Boudreaux Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982196432 PECOS PAC ID: 0648524017 Enrollment ID: I20181121002015 |
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