Strawberry Patch Pediatrics LLC
A Medicare group practice based in Ponchatoula, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294160859), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294160859
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- LA
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200109000559 | LA | Part A Provider - Rural Health Clinic | 1346895638 |
| O20200124001188 | LA | Part B Supplier - Clinic/Group Practice | 1346895638 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Strawberry Patch Pediatrics LLC
dba Strawberry Patch Pediatrics & Family Clinic
- Rural Health Clinic/Center
- Ponchatoula, LA
- NPI 1346895638
-
Strawberry Patch Pediatrics LLC
dba West Oak Family Clinic
- Rural Health Clinic/Center
- Amite, LA
- NPI 1861088098
Practice locations
- Ponchatoula, LA2
- Amite, LA1
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).
-
Laura Lynne Drake, M.D.
- Pediatrics Physician
- Walker, LA
- NPI 1174783344
-
Laquanta Deondrigue Fontenot, NP
- Family Nurse Practitioner
- Independence, LA
- NPI 1154175701
-
Kathleen Ann Glover
- Clinical Social Worker
- Ponchatoula, LA
- NPI 1053209122
-
Paula Uhle Hall, CNP
- Family Nurse Practitioner
- Mandeville, LA
- NPI 1306512355
-
Wendy Binder Hallmark, NP
- Family Nurse Practitioner
- Ponchatoula, LA
- NPI 1467868844
-
Amber Rupp Harms, FNP
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1740969013
-
Leanna McCrea, LCSW
- Clinical Social Worker
- Amite, LA
- NPI 1891342184
-
Paige Buisson Schaffer, NP
- Family Nurse Practitioner
- Loranger, LA
- NPI 1386475655
-
Ashley Siliezar Kinchen, LCSW
- Clinical Social Worker
- Loranger, LA
- NPI 1336623107
-
Andie Street
- Speech-Language Pathologist
- Holden, LA
- NPI 1659849263
-
Collin Thomas, APRN, CPNP
- Pediatric Nurse Practitioner
- Ponchatoula, LA
- NPI 1265823637
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.