Mary Francine Briscoe, PA-C
Individual provider Active NPI Physician Assistant · Marrero, LA
NPI 1285642926 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1285642926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.200046 (LA)
- Practice address
- 1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072 - Phone
- (504) 349-6401
- Fax
- (504) 349-6444
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Clinic, a Professional Medical Corporation
Winn Community Health Center, Inc.
Practice addresses (Care Compare)
102 Thomas Rd
Suite 114
West Monroe, LA 71291-7365
Phone (318) 325-2634
1140 S Vienna St
Ruston, LA 71270-5834
Phone (318) 224-7190
611 Grammont St
Monroe, LA 71201-7516
Phone (318) 325-2634
Hospital & facility affiliations
- Fmol Health St Francis
- Glenwood Regional Medical Center
- Northern Louisiana Medical Center
- Monroe Surgical Hospital
- Jackson Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000787 | LA | Practitioner - Physician Assistant | 6901850403 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200046 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current |
Accepting new patients | |
| Winn Community Health Center, Inc. | Current |
Accepting new patients | |
| Winn Community Health Center, Inc. | Current |
Accepting new patients | |
| Winn Community Health Center, Inc. | Past | Accepting new patients |
Locations
2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311
340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700
338 Moreau St
Marksville, LA 71351
Phone (318) 253-5647
1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401
9465 Highway 165
Pollock, LA 71467
Phone (318) 310-2070
3265 Military Rd
Ringgold, LA 71068
Phone (318) 894-0220
1140 S Vienna St
Ruston, LA 71270
Phone (318) 224-7190
764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958
431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510
Interoperability endpoints
- mbriscoe3651201@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200046 | LA | Yes |
Addresses
Primary practice location
1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072
Mailing address
1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626490 | Medicaid | LA |
Other names
- Mary Francine Amman
NPI Registry JSON
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1285642926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE S-450",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-349-6423",
"fax_number": "504-349-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE S-450",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-6401",
"fax_number": "504-349-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "MARY",
"middle_name": "FRANCINE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1626490",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "AMMAN",
"middle_name": "FRANCINE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marrero, LA
- Bridgepoint Healthcare Louisiana LLC
- Angela Sanders Bridges
- Daysha Reshel Bridges
- Tiesha Bright
- Monique Brimmer-Williams
- Lisa A Brockhoeft
- Kelsey Brooks
- Tiffany Versa Lynn Broussard
- Brown & Associates Independent Living LLC
- Brown & Associates Independent Living LLC
All providers in Marrero, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.