Question 1

What type of a medical provider is Brantley Booth?

Accepted Answer

Brantley Booth is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Brantley Booth practice medicine?

Accepted Answer

Brantley Booth has the following practice address:2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897

Question 3

Does this provider have a license number?

Accepted Answer

Brantley Booth has the following license number: License Number 230060 issued in Louisiana.

Question 4

Does Brantley Booth accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Brantley Booth have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Brantley Booth a member of any Medical Groups?

Accepted Answer

Brantley Booth is affiliated with one medical group in the LAKE CHARLES area, MMG ARCHER INSTITUTE, LLC.

Question 7

Does Brantley Booth participate in PECOS?

Accepted Answer

Yes, Brantley Booth participates in PECOS.

Question 8

What phone number can I call to contact Brantley Booth?

Accepted Answer

You can call the following number: (337)-480-7800

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Brantley Booth.

Question 10

Is Brantley Booth  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (9/14/2023).

Taxonomy	State	Primary?
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	LA	Y
Single Specialty Group - Taxonomy Code 193400000X	LA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20230630001591
PECOS Individual PAC ID:	7517326010
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Brantley Booth

Overview