Grace E Dinvaut (NPI# 1194031237, PAC ID# 2466647557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194031237 |
| PAC ID by PECOS | 2466647557 |
| Professional Enrollment ID | I20101115001085 |
| Full Name | Grace E Dinvaut |
| Organization Legal Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC. |
| Address |
567 Walker St Merryville Community Health Center Merryville LA 70653-3010 |
| Phone Number | 3182568150 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204817828 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190007 | NATCHITOCHES REGIONAL MEDICAL CENTER |
| 190218 | SABINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1050 N Robinson St, Sabine Comprehensive Health Clinic, Many, LA 71449-3536 | 3182568150 | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC. |
| 567 Walker St, Merryville Community Health Center, Merryville, LA 70653-3010 | 3182568150 | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC. |
| Organization Legal Name | IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER,INC. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dametra Danielle Taylor | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 567 Walker St, Merryville Community Health Center, Merryville, LA 70653-3010 |
| Keisha S Noel | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 1004 Surrey St, Lafayette, LA 70501-6143 |
| Jonathan Seghorn | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Diana Verdeflor | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 800 Charity St, Abbeville, LA 70510-5239 |
| Erinn W Olivier | Obstetrics/gynecology | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Victor Jackson | Internal Medicine | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Edmond X Bergeron | Psychologist, Clinical | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Sherri Gage | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Jason J Valls | Family Medicine | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Carmen S Brown | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
| Street Address |
567 WALKER ST MERRYVILLE COMMUNITY HEALTH CENTER |
| City | MERRYVILLE |
| State | LA |
| Zip | 70653-3010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dametra Danielle Taylor | Nurse Practitioner | Iberia Comprehensive Community Health Center,inc. | 567 Walker St, Merryville Community Health Center, Merryville, LA 70653-3010 |
| City | MERRYVILLE |
| Zip Code | 70653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERRYVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.