| Lisa Deshun Smart, | |
|
2913 Betin Ave, Monroe, LA 71201-7257 | |
| (318) 388-1250 | |
| Not Available |
| Full Name | Lisa Deshun Smart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2913 Betin Ave, Monroe, 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 |
|---|---|---|---|
| 1790291342 | NPI | - | NPPES |
| 2466186 | Medicaid | LA | |
| AP09612 | Other | LA | APRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09612 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP09612 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morehouse General Hospital | Bastrop, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morehouse General Hospital | 4284528274 | 22 |
| Entity Name | Morehouse General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790966638 PECOS PAC ID: 4284528274 Enrollment ID: O20040211000117 |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Entity Name | Evernorth Care Providers - Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215717319 PECOS PAC ID: 7911355532 Enrollment ID: O20240313003794 |
| Entity Name | Smart Choice Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073376257 PECOS PAC ID: 3779028634 Enrollment ID: O20240716000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Deshun Smart, 4 Leslie Ln, Monroe, LA 71203-2715 Ph: (318) 791-0359 | Lisa Deshun Smart, 2913 Betin Ave, Monroe, LA 71201-7257 Ph: (318) 388-1250 |