| One Source Medical Management, Inc. | |
|
2933 Cypress St Ste 1 West Monroe LA 71291 | |
| (318) 322-9252 | |
| Not Available |
| Full Name | One Source Medical Management, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2933 Cypress St Ste 1, West Monroe, Louisiana |
| Authorized Official Name and Position | Donna Saterfiel (CEO) |
| Authorized Official Contact | 3183229252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Source Medical Management, Inc. Po Box 2673 West Monroe LA 71294-2673 Ph: (318) 322-9252 | One Source Medical Management, Inc. 2933 Cypress St Ste 1 West Monroe LA 71291 Ph: (318) 322-9252 |
| NPI Number | 1982670923 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 4385618164 |
|---|---|
| Medicare Enrollment ID | O20080415000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982670923 | NPI | - | NPPES |
| 1443557 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Donna N Saterfiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285600908 PECOS PAC ID: 1951348515 Enrollment ID: I20050414000800 |
| Provider Name | Amy M Givler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124039326 PECOS PAC ID: 1052457462 Enrollment ID: I20091014000769 |
| Provider Name | Donald N Givler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093731515 PECOS PAC ID: 5193868271 Enrollment ID: I20100211000727 |
| Provider Name | Kathleen F Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205975844 PECOS PAC ID: 1052589942 Enrollment ID: I20110720000344 |
| Provider Name | Katelyn J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700238581 PECOS PAC ID: 1850685058 Enrollment ID: I20160811000258 |
| Provider Name | Lacey B Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891290490 PECOS PAC ID: 7517221997 Enrollment ID: I20180511000643 |
| Provider Name | Marbie N Becton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750943726 PECOS PAC ID: 5597091421 Enrollment ID: I20190730001832 |
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