- Medicare Primary Care in Mansfield, LA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mansfield, Louisiana. The current practice location for is 907 Polk St, Mansfield, Louisiana. For appointments, you can reach them via phone at (318) 872-1015. The mailing address for is 2120 Bert Kouns Industrial Loop, Suite E, Shreveport, Louisiana and phone number is (318) 688-3350.

is licensed to practice in Louisiana (license number 104). The clinic also participates in the medicare program and its NPI number is 1285942284. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 872-1015.

Contact Information

907 Polk St
Mansfield
LA 71052-2520
(318) 872-1015
(318) 872-1055

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location907 Polk St, Mansfield, Louisiana
Authorized Official Name and PositionMary M. Chumley (PRESIDENT / EXECUTIVE DIRECTOR)
Authorized Official Contact3186883394
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2120 Bert Kouns Industrial Loop
Suite E
Shreveport
LA 71118-3351

Ph: (318) 688-3350
907 Polk St
Mansfield
LA 71052-2520

Ph: (318) 872-1015

NPI Details:

NPI Number1285942284
Provider Enumeration Date09/24/2010
Last Update Date07/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8022043710
Medicare Enrollment IDO20051129000114

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285942284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 104 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameFred S Willis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235131665
PECOS PAC ID: 8022068832
Enrollment ID: I20050129000111
Provider NamePatricia A Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720164379
PECOS PAC ID: 4284736026
Enrollment ID: I20070224000124
Provider NameRaymond Betcher
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1952452310
PECOS PAC ID: 1951402320
Enrollment ID: I20161217000036
Provider NameAlesha N Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063992238
PECOS PAC ID: 4385970524
Enrollment ID: I20190725003780
Provider NameEmily Krysten Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447805742
PECOS PAC ID: 5698005247
Enrollment ID: I20190924002042
Provider NameChristina Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962714196
PECOS PAC ID: 5698907335
Enrollment ID: I20200117000223
Provider NameJudith Eliza Thomas-gregory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922749571
PECOS PAC ID: 8527455534
Enrollment ID: I20220421001338
Provider NameBrandi N Jamison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962168013
PECOS PAC ID: 8527443506
Enrollment ID: I20220912000901
Provider NameTracy B. Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083495873
PECOS PAC ID: 6406204395
Enrollment ID: I20231204001220
Provider NameTaylor Jamia Maxie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700620408
PECOS PAC ID: 0749715456
Enrollment ID: I20241118004224
Provider NameThomas Patrick Duddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053130583
PECOS PAC ID: 0547795999
Enrollment ID: I20241122001241

Reviews and Comments


Clinic/Center in Mansfield, LA


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 130 Jefferson St, Mansfield, LA 71052
Phone: 318-872-2700    Fax: 318-872-6214

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 130 Jefferson St, Mansfield, LA 71052
Phone: 318-872-2700    Fax: 318-872-6214

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 907 Polk St, Mansfield, LA 71052
Phone: 318-872-1015    Fax: 318-872-1055
Just Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 205 Franklin St, Mansfield, LA 71052
Phone: 318-872-3956    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 907 Polk St, Mansfield, LA 71052
Phone: 318-872-1015    Fax: 318-872-1055
Just Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 208 Adams St, Mansfield, LA 71052
Phone: 833-784-2669    Fax: 844-784-2329

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.