Mandy Guilliams, | |
3444 Masonic Dr, Alexandria, LA 71301-3615 | |
(318) 473-9556 | |
(318) 443-9190 |
Full Name | Mandy Guilliams |
---|---|
Gender | Female |
Speciality | Registered Nurse - Orthopedic |
Location | 3444 Masonic Dr, Alexandria, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578291258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0800X | Registered Nurse - Orthopedic | RN155232 (Louisiana) | Primary |
Entity Name | Mid State Orthopaedic & Sports Medicine Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104890052 PECOS PAC ID: 6204892540 Enrollment ID: O20041208000292 |
Mailing Address | Practice Location Address |
---|---|
Mandy Guilliams, 3444 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 473-9556 | Mandy Guilliams, 3444 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 473-9556 |
Jennifer James, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5920 Coliseum Blvd, Alexandria, LA 71303 Phone: 318-443-9339 Fax: 318-443-9116 | |
Kevin G Brister, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Hannah W Jones, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1444 Peterman Dr, Alexandria, LA 71301 Phone: 318-442-5399 Fax: 318-442-1586 | |
Kayla Jeansonne, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5604a Coliseum Blvd, Alexandria, LA 71303 Phone: 318-487-5282 | |
Angela Morton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5604a Coliseum Blvd, Alexandria, LA 71303 Phone: 318-487-5282 | |
Mrs. Mary Melissa Gates, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5604 Coliseum Blvd Ste A, Alexandria, LA 71303 Phone: 318-487-5282 | |
Mrs. Jennifer S Brady, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5604 A Coliseum Blvd, Alexandria, LA 71303 Phone: 318-487-5282 Fax: 318-487-5557 |