Stephen G Mixon, NP | |
1970 N Hwy 190, Covington, LA 70433-5158 | |
(985) 400-5988 | |
(985) 867-3644 |
Full Name | Stephen G Mixon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 1970 N Hwy 190, Covington, 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 |
---|---|---|---|
1386610608 | NPI | - | NPPES |
1471712 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN073581 AP03978 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Tammany Parish Hospital | Covington, LA | Hospital |
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Lallie Kemp Medical Center | Independence, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lallie Kemp Medical Ctr | 0345238903 | 36 |
St Tammany Parish Hospital Service District No 1 | 0749273761 | 135 |
Entity Name | St Tammany Parish Hospital Service District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275539363 PECOS PAC ID: 0749273761 Enrollment ID: O20040406000728 |
Entity Name | Lallie Kemp Medical Ctr |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558303420 PECOS PAC ID: 0345238903 Enrollment ID: O20040503001188 |
Entity Name | George Keshelava, Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932528486 PECOS PAC ID: 0143442822 Enrollment ID: O20141113000399 |
Mailing Address | Practice Location Address |
---|---|
Stephen G Mixon, NP Po Box 3370, Covington, LA 70434-3370 Ph: (985) 400-5988 | Stephen G Mixon, NP 1970 N Hwy 190, Covington, LA 70433-5158 Ph: (985) 400-5988 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |