Nicole Angela Garnet Mccommon, MD | |
112 N Forrest Rd, Plain Dealing, LA 71064-4031 | |
(318) 326-7272 | |
(318) 326-7282 |
Full Name | Nicole Angela Garnet Mccommon |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 112 N Forrest Rd, Plain Dealing, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750592440 | NPI | - | NPPES |
1038130 | Medicaid | LA | |
1092452 | Medicaid | LA | |
1444286 | Medicaid | LA | |
2302639 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD201547 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Primestar Home Health Of Nwla, Inc | Ringgold, LA | Home health agency |
Louisiana Homecare/ Springhill | Springhill, LA | Home health agency |
North Caddo Medical Center | Vivian, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benton Medical | 1456669654 | 2 |
North Caddo Hospital Service District | 4385544584 | 13 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
Entity Name | Benton Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
Mailing Address | Practice Location Address |
---|---|
Nicole Angela Garnet Mccommon, MD 112 Forest St, Plain Dealing, LA 71064-4031 Ph: (318) 326-7272 | Nicole Angela Garnet Mccommon, MD 112 N Forrest Rd, Plain Dealing, LA 71064-4031 Ph: (318) 326-7272 |