Stacey Hackler, APRN, FNP-C | |
320 N Hood St, Lake Providence, LA 71254-2140 | |
(318) 559-2404 | |
Not Available |
Full Name | Stacey Hackler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 320 N Hood St, Lake Providence, Louisiana |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477000529 | NPI | - | NPPES |
AP08944 | Other | LA | STATE LICENSE |
2443682 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP08944 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carroll Parish Hospital | 1153216619 | 12 |
Entity Name | East Carroll Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
Mailing Address | Practice Location Address |
---|---|
Stacey Hackler, APRN, FNP-C 505 Lake St, Lake Providence, LA 71254-2545 Ph: (318) 559-3303 | Stacey Hackler, APRN, FNP-C 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404 |
Carla C Costello, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404 | |
Kelly Catherine Ratliff, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814 | |
Savannah Fortenberry, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404 | |
Ms. Brenda R. Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4900 Fax: 318-559-1772 | |
Amy Garrett Hale, RN,FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814 |