| Monroe Medical Clinic | |
|
100 S 2nd St Monroe LA 71201-8537 | |
| (318) 322-7836 | |
| (318) 325-4438 |
| Full Name | Monroe Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 100 S 2nd St, Monroe, Louisiana |
| Authorized Official Name and Position | Thomas Charles Dansby (OWNER) |
| Authorized Official Contact | 3183227836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Medical Clinic 100 S 2nd St Monroe LA 71201-8537 Ph: (318) 322-7836 | Monroe Medical Clinic 100 S 2nd St Monroe LA 71201-8537 Ph: (318) 322-7836 |
| NPI Number | 1376657817 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/18/2017 |
| Medicare PECOS PAC ID | 0244320562 |
|---|---|
| Medicare Enrollment ID | O20071226000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376657817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD020461 (Louisiana) | Primary |
| Provider Name | Ryan S Dykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366549354 PECOS PAC ID: 4688778442 Enrollment ID: I20070404000037 |
| Provider Name | Latonya W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306936125 PECOS PAC ID: 0749372464 Enrollment ID: I20070824000643 |
| Provider Name | Thomas C Dansby |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366536096 PECOS PAC ID: 4789774001 Enrollment ID: I20110516000448 |
| Provider Name | Jennifer M Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467879148 PECOS PAC ID: 9931329133 Enrollment ID: I20141010001832 |
| Provider Name | Kasey Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437634789 PECOS PAC ID: 7618150574 Enrollment ID: I20190329000491 |
| Provider Name | Tanya R Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129920 PECOS PAC ID: 2769811363 Enrollment ID: I20200402001468 |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |