Nicholas Glen Maggio, | |
11990 Jackson St, Clinton, LA 70722-3210 | |
(225) 683-5292 | |
(225) 683-1310 |
Full Name | Nicholas Glen Maggio |
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Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 11990 Jackson St, Clinton, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295398808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 204478 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lane Regional Medical Center | Zachary, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Service District 1 Of East Baton Rouge Parish | 0941191902 | 27 |
Entity Name | Hospital Service District #1 Of East Baton Rouge Parish |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
Entity Name | Riverside Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700874062 PECOS PAC ID: 3173430196 Enrollment ID: O20151230002124 |
Mailing Address | Practice Location Address |
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Nicholas Glen Maggio, Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-2529 | Nicholas Glen Maggio, 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292 |
Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370 | |
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359 | |
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 | |
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Lezerrica Ford, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Shannon N Amacker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Darie S. Gilliam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 |