Sandra M Peacock, APRN is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Sulphur, Louisiana. Sandra M Peacock is licensed to practice in Louisiana (license number AP02623) and her current practice location is
423 Cypress St, Sulphur, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 528-7992.
NPI number for Sandra M Peacock is 1780909036 and her current mailing address is 423 Cypress St, Sulphur, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780909036.
Provider's Profile
Full Name | Sandra M Peacock |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 423 Cypress St, Sulphur, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780909036
- Provider Enumeration Date: 03/30/2010
- Last Update Date: 03/30/2010
Medical Identifiers
Medical identifiers for Sandra M Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780909036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | AP02623 (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. Sandra M Peacock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra M Peacock, APRN 423 Cypress St, Sulphur, LA 70663-4964 Ph: (337) 528-7992 | Sandra M Peacock, APRN 423 Cypress St, Sulphur, LA 70663-4964 Ph: (337) 528-7992 |
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