Nathan C Freeman, PA-C
Individual provider Active NPI Medical Physician Assistant · Lacombe, LA
NPI 1982606166 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1982606166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- A10277 (LA)
- Practice address
- 64040 Highway 434
Ste 200
Lacombe, LA 70445-3456 - Phone
- (985) 892-9233
- Fax
- (985) 892-8916
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- White Coat Medical Group LLC
Practice addresses (Care Compare)
736 Gause Blvd
Slidell, LA 70458-2840
Phone (318) 709-9616
Hospital & facility affiliations
- St Tammany Parish Hospital
- Sterling Surgical Hospital
- Our Lady of the Lake Surgical 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 |
|---|---|---|---|---|
| I20050317000092 | LA | Practitioner - Physician Assistant | 3375598816 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10277 | LA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Coat Medical Group LLC | Current |
Accepting new patients | |
| Lakeview Regional Physician Group LLC | Past | Accepting new patients | |
| HVC, LLC | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
736 Gause Blvd
Slidell, LA 70458
Phone (318) 709-9616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A10277 | LA | Yes |
Addresses
Primary practice location
64040 Highway 434
Ste 200
Lacombe, LA 70445-3456
Mailing address
64040 Highway 434
Ste 200
Lacombe, LA 70445-3456
Phone (985) 892-9233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624837 | Medicaid | LA |
Other providers in Lacombe, LA
- Brigitte Emanuel
- Emergency Group of Covington LLC
- Lorenzo Boykin Fisher
- Alexander Fontenot
- Freedom Spine, LLC
- Fresenius Medical Care Northshore Home, LLC
- G & K Transport Services
- David J Giardina
- Tressa Glasper
- Patrick Joseph Glynn
All providers in Lacombe, LA · Medical 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 Jul 9, 2007. 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.