Ms Mary Lancaster, NP | |
1640 Breazeale Springs St, Natchitoches, LA 71457-4278 | |
(318) 352-9299 | |
(318) 521-8031 |
Full Name | Ms Mary Lancaster |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1640 Breazeale Springs St, Natchitoches, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164899845 | NPI | - | NPPES |
2433601 | Medicaid | LA | |
AP08326 | Other | LA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP08326 (Louisiana) | Primary |
363LC1500X | Nurse Practitioner - Community Health | AP08326 (Louisiana) | Secondary |
Entity Name | Outpatient Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523266 PECOS PAC ID: 5597651794 Enrollment ID: O20040807000145 |
Entity Name | Nrmc Walk-in Clinic Ventures, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306233572 PECOS PAC ID: 1456663327 Enrollment ID: O20150707000451 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Lancaster, NP 105 Jefferson St Ofc, Natchitoches, LA 71457-4350 Ph: (318) 357-2056 | Ms Mary Lancaster, NP 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 Ph: (318) 352-9299 |
Darlinda Theresa Dove, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-5770 | |
Mrs. Amber Manasco Savell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Parkway Dr Ste B, Natchitoches, LA 71457 Phone: 318-352-7768 Fax: 318-357-3661 | |
Roxanne Noel Cook, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-5770 | |
Marquita Dixon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Royal St Ste B, Natchitoches, LA 71457 Phone: 318-352-2971 | |
Miss Carlisa A Washington, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Parkway Dr Ste A, Natchitoches, LA 71457 Phone: 318-352-6464 Fax: 318-352-2488 | |
Susanna Squyres Lewis, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Keyser Ave Ste E, Natchitoches, LA 71457 Phone: 318-238-5300 |