Mrs Detries R Morris, NP | |
115 North Jefferson Street,, Suite B, Mansfield, LA 71052 | |
(318) 871-1633 | |
(318) 871-1677 |
Full Name | Mrs Detries R Morris |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 115 North Jefferson Street,, Mansfield, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861583874 | NPI | - | NPPES |
1556548 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP03499 (Louisiana) | Primary |
Entity Name | Desoto Healthcare Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811209232 PECOS PAC ID: 0446444392 Enrollment ID: O20101104000495 |
Entity Name | Calcasieu Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
Entity Name | Icp Louisiana Aco Billing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043894231 PECOS PAC ID: 6103225164 Enrollment ID: O20210524001663 |
Mailing Address | Practice Location Address |
---|---|
Mrs Detries R Morris, NP P. O. Box 1384, 115 North Jefferson, Suite B, Mansfield, LA 71052 Ph: (318) 871-1633 | Mrs Detries R Morris, NP 115 North Jefferson Street,, Suite B, Mansfield, LA 71052 Ph: (318) 871-1633 |
Edwina Elrod Eley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7356 Highway 509, Mansfield, LA 71052 Phone: 318-871-1633 Fax: 318-871-1677 | |
Carrie Jo Moton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 Washington Ave, Mansfield, LA 71052 Phone: 318-301-6627 Fax: 318-872-7048 | |
Susannah Holt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Polk St, Mansfield, LA 71052 Phone: 318-575-2143 |