| Mary Emelee Benjamin, NP | |
|
2495 Shreveport Hwy Ste 104, Pineville, LA 71360-4044 | |
| (318) 466-4522 | |
| (318) 445-1663 |
| Full Name | Mary Emelee Benjamin |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2495 Shreveport Hwy Ste 104, Pineville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295716587 | NPI | - | NPPES |
| 1113549 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP03853 (Louisiana) | Primary |
| Entity Name | Lasalle Parish Hospital Service District #1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Cenla Family Medicine Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397542 PECOS PAC ID: 7517010705 Enrollment ID: O20090805000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Emelee Benjamin, NP 2495 Shreveport Hwy Ste 104, Pineville, LA 71360-4044 Ph: (318) 466-4522 | Mary Emelee Benjamin, NP 2495 Shreveport Hwy Ste 104, Pineville, LA 71360-4044 Ph: (318) 466-4522 |
Mr. Jonathan S Forester, MD MS Family Medicine Medicare: Medicare Enrolled Practice Location: 2809 Donahue Ferry Rd, Pineville, LA 71360 Phone: 318-641-0865 Fax: 318-640-3290 | |
Dr. James Edwards Wallace Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1135 Expressway Dr, Suite 200 A, Pineville, LA 71360 Phone: 318-561-9600 Fax: 318-561-0228 | |
Ms. Teresa Elena Hamm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
Dametria A Sinegal-daniel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 352 Hospital Blvd, Pineville, LA 71360 Phone: 318-448-0811 Fax: 318-473-1435 | |
Dr. Vincent D Mallory, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-2106 | |
Trung Dang Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-4321 |