Ms Sandra Lee Brommeland Gonzalez, APRN-BC - Medicare Nurse Practitioner in Thibodaux, LA

Ms Sandra Lee Brommeland Gonzalez, APRN-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Thibodaux, Louisiana. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1101 Audubon Ave, Thibodaux, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 857-3615.

Ms Sandra Lee Brommeland Gonzalez is licensed to practice in Louisiana (license number AP 5139) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053428342.

Contact Information

Ms Sandra Lee Brommeland Gonzalez, APRN-BC
1101 Audubon Ave,
Thibodaux, LA 70301-4957
(985) 857-3615
(941) 295-7336



Provider's Profile

Full NameMs Sandra Lee Brommeland Gonzalez
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location1101 Audubon Ave, Thibodaux, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Sandra Lee Brommeland Gonzalez graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1053428342
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 01/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3971602673
  • Enrollment ID: I20070621000026

Medical Identifiers

Medical identifiers for Ms Sandra Lee Brommeland Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053428342NPI-NPPES
1022004MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP 5139 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Sandra Lee Brommeland Gonzalez allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Health And Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497794887
PECOS PAC ID: 1355235680
Enrollment ID: O20040827000955

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› Verified 5 days ago

Entity NamePsychiatric Solutions, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184913451
PECOS PAC ID: 3375708860
Enrollment ID: O20120709000166

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› Verified 5 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sandra Lee Brommeland Gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Sandra Lee Brommeland Gonzalez, APRN-BC
929 Bayou Dularge Rd,
Houma, LA 70363-7614

Ph: (985) 872-3550
Ms Sandra Lee Brommeland Gonzalez, APRN-BC
1101 Audubon Ave,
Thibodaux, LA 70301-4957

Ph: (985) 857-3615

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› Verified 5 days ago


Nurse Practitioner Nurses in Thibodaux, LA

Rebecca Ann Melancon, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-447-5500    
Mrs. Emily Rivet Landry, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301
Phone: 985-446-2021    Fax: 985-446-1546
Candice Eschete,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-493-4727    
Champ Phuphanich, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 1st St, Thibodaux, LA 70301
Phone: 985-228-6028    
Nicholas S Fuglaar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2031 Audubon Ave, Thibodaux, LA 70301
Phone: 985-803-8383    
Mrs. Darian Scurlock Rousse, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-447-3889    

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