Mrs Raven Nicole Hargrove, PA-C in Shreveport, LA

Mrs Raven Nicole Hargrove, PA-C is a medicare enrolled "Physician Assistant" in Shreveport, Louisiana. Her current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 626-0000.

Mrs Raven Nicole Hargrove is licensed to practice in Louisiana (license number 338388) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558069559.

Contact Information

	Mrs Raven Nicole Hargrove, PA-C
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Raven Nicole Hargrove
Gender	Female
Speciality	Physician Assistant
Location	1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558069559
Provider Enumeration Date: 02/20/2023
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5193178911
Enrollment ID: I20240129002288

Medical Identifiers

Medical identifiers for Mrs Raven Nicole Hargrove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558069559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	338388 (Louisiana)	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. Mrs Raven Nicole Hargrove is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Raven Nicole Hargrove, PA-C 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287	Mrs Raven Nicole Hargrove, PA-C 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

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Mrs Raven Nicole Hargrove, PA-C - Medicare Physician Assistant in Shreveport, LA