Penny C Montcalm (NPI# 1376877241, PAC ID# 0446383269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376877241 |
PAC ID by PECOS | 0446383269 |
Professional Enrollment ID | I20100730000650 |
Full Name | Penny C Montcalm |
Organization Legal Name | MONROE SURGICAL HOSPITAL, LLC |
Address |
261 Hwy 132 Mangham LA 71259-5269 |
Phone Number | 3182482807 |
Gender | F |
Graduation Year | 2005 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5294725297 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
261 Hwy 132, Mangham, LA 71259-5269 | 3182482807 | MONROE SURGICAL HOSPITAL, LLC |
1325 Louisville Ave, Monroe, LA 71201-6021 | 3188071500 | AFFINITY HEALTH GROUP, LLC |
2269 Arkansas Rd, West Monroe, LA 71291-7818 | 3183971574 | THE FOOT AND ANKLE CLINIC OF WEST MONROE LLC |
Organization Legal Name | MONROE SURGICAL HOSPITAL, LLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley N Hale | Nurse Practitioner | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
Michael Sampognaro | Internal Medicine | Monroe Surgical Hospital, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2994 |
David A Yarbrough | Family Medicine | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
Jyssica M Sullivan | Nurse Practitioner | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
Street Address |
261 HWY 132 |
City | MANGHAM |
State | LA |
Zip | 71259-5269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley N Hale | Nurse Practitioner | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
David A Yarbrough | Family Medicine | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
Jyssica M Sullivan | Nurse Practitioner | Monroe Surgical Hospital, LLC | 261 Hwy 132, Mangham, LA 71259-5269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terri L Klick | Nurse Practitioner | 107 Lela St, Mangham, LA 71259-5063 | |
Jeffrey O White | Nurse Practitioner | T and T Klick, LLC | 107 Lela St, Mangham, LA 71259-5063 |
City | MANGHAM |
Zip Code | 71259 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MANGHAM + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.