| Stonebridge Health Systems, Llc | |
|
2837 Ernest St Ste A Lake Charles LA 70601-8785 | |
| (337) 439-8111 | |
| (337) 439-1970 |
| Full Name | Stonebridge Health Systems, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2837 Ernest St Ste A, Lake Charles, Louisiana |
| Authorized Official Name and Position | Leslie Ann Trahan (MEMBER/MANAGER) |
| Authorized Official Contact | 3374398111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebridge Health Systems, Llc 2837 Ernest St Ste A Lake Charles LA 70601-8785 Ph: (337) 439-8111 | Stonebridge Health Systems, Llc 2837 Ernest St Ste A Lake Charles LA 70601-8785 Ph: (337) 439-8111 |
| NPI Number | 1780384644 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6204068091 |
|---|---|
| Medicare Enrollment ID | O20231019002829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780384644 | NPI | - | NPPES |
| Provider Name | Maureen A Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992700272 PECOS PAC ID: 9931139193 Enrollment ID: I20050818000068 |
| Provider Name | Rachel M Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548403454 PECOS PAC ID: 2668520826 Enrollment ID: I20090428000558 |
| Provider Name | Sarah Newman Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760825152 PECOS PAC ID: 5597992354 Enrollment ID: I20131226001326 |
| Provider Name | Zachary Cameron Ryder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942689211 PECOS PAC ID: 1951681709 Enrollment ID: I20220926001087 |
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