| Kristina Moore Stanfield, | |
|
1200 S Farmerville St, Ruston, LA 71270-5941 | |
| (318) 255-3690 | |
| (318) 255-5911 |
| Full Name | Kristina Moore Stanfield |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 7 Years |
| Location | 1200 S Farmerville St, Ruston, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639670458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 343280 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Clinic Llc | 4789668831 | 46 |
| Entity Name | Green Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Moore Stanfield, 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 | Kristina Moore Stanfield, 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 |
Darryl L Johnson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 400 East Vaughn Ave, Ruston, LA 71270 Phone: 318-251-0620 Fax: 318-251-0621 | |
Jared Mark Vincent, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 400 E Vaughn Ave, Ruston, LA 71270 Phone: 318-251-0620 Fax: 318-251-0621 | |
Mr. Gary Luffey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 |