| Healthremede | |
|
13466 Vera Mcgowan Rd Walker LA 70785-8508 | |
| (225) 380-1720 | |
| (225) 380-1719 |
| Full Name | Healthremede |
|---|---|
| Speciality | Clinic/Center |
| Location | 13466 Vera Mcgowan Rd, Walker, Louisiana |
| Authorized Official Name and Position | Brad W Frick (MANAGING MEMBER) |
| Authorized Official Contact | 2253801720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthremede 13466 Vera Mcgowan Rd Walker LA 70785-8508 Ph: (225) 380-1720 | Healthremede 13466 Vera Mcgowan Rd Walker LA 70785-8508 Ph: (225) 380-1720 |
| NPI Number | 1902280258 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 06/07/2019 |
| Medicare PECOS PAC ID | 6204130321 |
|---|---|
| Medicare Enrollment ID | O20160210002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902280258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Brad W Frick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639252992 PECOS PAC ID: 8123924230 Enrollment ID: I20061116000326 |
| Provider Name | Jimmy Guidry |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548253016 PECOS PAC ID: 0446340723 Enrollment ID: I20071227000138 |
| Provider Name | Alonzo Wilder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881635878 PECOS PAC ID: 9234288051 Enrollment ID: I20090527000071 |
| Provider Name | Ashley Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780839548 PECOS PAC ID: 1456579333 Enrollment ID: I20140908000591 |
| Provider Name | Amanda G Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771616 PECOS PAC ID: 5799078648 Enrollment ID: I20160729000888 |
| Provider Name | Michael Joseph Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710519145 PECOS PAC ID: 9739517327 Enrollment ID: I20200313000508 |
| Provider Name | Katherine Leblanc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043812555 PECOS PAC ID: 5496161762 Enrollment ID: I20210311000429 |
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