Courtney Marie Lacoste, FNP-C is a
Nurse Practitioner - Family based in Kiln, Mississippi. Courtney Marie Lacoste is licensed to practice in Mississippi (license number 906357) and her current practice location is
16195 Sam Favre Rd, Kiln, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 216-1981.
NPI number for Courtney Marie Lacoste is 1609649391 and her current mailing address is Po Box 481, Kiln, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609649391.
Provider's Profile
Full Name | Courtney Marie Lacoste |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 16195 Sam Favre Rd, Kiln, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609649391
- Provider Enumeration Date: 11/03/2023
- Last Update Date: 11/03/2023
Medical Identifiers
Medical identifiers for Courtney Marie Lacoste such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609649391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 906357 (Mississippi) | 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. Courtney Marie Lacoste 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 |
Courtney Marie Lacoste, FNP-C Po Box 481, Kiln, MS 39556-0481 Ph: (228) 216-1981 | Courtney Marie Lacoste, FNP-C 16195 Sam Favre Rd, Kiln, MS 39556-8191 Ph: (228) 216-1981 |
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