M. Cotter, Md, Llc | |
3335 Deborah Dr Monroe LA 71201-2150 | |
(337) 889-8922 | |
Not Available |
Full Name | M. Cotter, Md, Llc |
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Speciality | Clinic/Center |
Location | 3335 Deborah Dr, Monroe, Louisiana |
Authorized Official Name and Position | Mark Cotter (OWNER) |
Authorized Official Contact | 3378898922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M. Cotter, Md, Llc 3335 Deborah Dr Monroe LA 71201-2150 Ph: (337) 889-8922 | M. Cotter, Md, Llc 3335 Deborah Dr Monroe LA 71201-2150 Ph: (337) 889-8922 |
NPI Number | 1568173375 |
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Provider Enumeration Date | 12/13/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 9931570009 |
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Medicare Enrollment ID | O20230127001550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568173375 | NPI | - | NPPES |
1962988 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mark M Cotter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891139143 PECOS PAC ID: 6608851795 Enrollment ID: I20040622001540 |
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