Mattie Louise Locke, is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Rusk, Texas. Mattie Louise Locke is licensed to practice in Texas (license number 218376) and her current practice location is
379 Fm 2972 W, Rusk, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 683-5781.
NPI number for Mattie Louise Locke is 1114396397 and her current mailing address is 379 Fm 2972 W, Rusk, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114396397.
Provider's Profile
Full Name | Mattie Louise Locke |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 379 Fm 2972 W, Rusk, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114396397
- Provider Enumeration Date: 09/17/2015
- Last Update Date: 09/17/2015
Medical Identifiers
Medical identifiers for Mattie Louise Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114396397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 218376 (Texas) | Primary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 106908 (Texas) | Secondary |
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. Mattie Louise Locke 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 |
Mattie Louise Locke, 379 Fm 2972 W, Rusk, TX 75785-3666 Ph: (903) 683-5781 | Mattie Louise Locke, 379 Fm 2972 W, Rusk, TX 75785-3666 Ph: (903) 683-5781 |
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