Molly Marie Peck, | |
1202 S Tyler St, Covington, LA 70433-2330 | |
(985) 898-4000 | |
Not Available |
Full Name | Molly Marie Peck |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1202 S Tyler St, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548849680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | 219190 (Louisiana) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 219190 (Louisiana) | Primary |
Entity Name | St Tammany Parish Hospital Service District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275539363 PECOS PAC ID: 0749273761 Enrollment ID: O20040406000728 |
Mailing Address | Practice Location Address |
---|---|
Molly Marie Peck, 409 Brown Thrasher Loop S, Madisonville, LA 70447-3046 Ph: (985) 750-1973 | Molly Marie Peck, 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |