Nicole Dantzler, is a
Case Manager/care Coordinator based in Bastrop, Louisiana. Nicole Dantzler is licensed to practice in * (Not Available) (license number ) and her current practice location is
209 W Jefferson Ave, Bastrop, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 239-3890.
NPI number for Nicole Dantzler is 1063877702 and her current mailing address is 209 W Jefferson Ave, Bastrop, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063877702.
Healthcare Provider's Profile
Full Name | Nicole Dantzler |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 209 W Jefferson Ave, Bastrop, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063877702
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 10/07/2021
Medical Identifiers
Medical identifiers for Nicole Dantzler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063877702 | 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. Nicole Dantzler 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 |
Nicole Dantzler, 209 W Jefferson Ave, Bastrop, LA 71220-4543 Ph: () - | Nicole Dantzler, 209 W Jefferson Ave, Bastrop, LA 71220-4543 Ph: (318) 239-3890 |
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