Lisa Jack, is a
Case Manager/care Coordinator based in Mamou, Louisiana. Lisa Jack is licensed to practice in * (Not Available) (license number ) and her current practice location is
613 East St, Mamou, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 655-1132.
NPI number for Lisa Jack is 1942739404 and her current mailing address is 613 East St, Mamou, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942739404.
Healthcare Provider's Profile
Full Name | Lisa Jack |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 613 East St, Mamou, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942739404
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 06/14/2018
Medical Identifiers
Medical identifiers for Lisa Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942739404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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. Lisa Jack 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 |
Lisa Jack, 613 East St, Mamou, LA 70554-3911 Ph: () - | Lisa Jack, 613 East St, Mamou, LA 70554 Ph: (337) 655-1132 |
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