Ebony Mingo, is a
Case Manager/care Coordinator based in Baton Rouge, Louisiana. Ebony Mingo is licensed to practice in * (Not Available) (license number ) and her current practice location is
8325 Kelwood Ave, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 238-5498.
NPI number for Ebony Mingo is 1265804686 and her current mailing address is 9420 Lindale Ave, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265804686.
Healthcare Provider's Profile
Full Name | Ebony Mingo |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 8325 Kelwood Ave, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265804686
- Provider Enumeration Date: 10/25/2015
- Last Update Date: 09/04/2018
Medical Identifiers
Medical identifiers for Ebony Mingo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265804686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 009109825 (Louisiana) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Ebony Mingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ebony Mingo, 9420 Lindale Ave, Baton Rouge, LA 70815-4161 Ph: (225) 442-3540 | Ebony Mingo, 8325 Kelwood Ave, Baton Rouge, LA 70806 Ph: (225) 238-5498 |
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