| Michael Proctor, | |
| 
					4864 Jackson St, Monroe, LA 71202-6400  | |
| (318) 333-0703 | |
| (318) 330-7648 | 
| Full Name | Michael Proctor | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 4864 Jackson St, Monroe, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710144902 | NPI | - | NPPES | 
| 1063223 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 204759 (Louisiana) | Primary | 
| Entity Name | Hospital Service District No. 1 Of Caldwell Parish | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306865761 PECOS PAC ID: 4587552450 Enrollment ID: O20040310001056  | 
| Entity Name | Richland Parish Hospital Service District No 1-b | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012  | 
| Entity Name | Opelousas Emergency Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851  | 
| Entity Name | Emergency Staffing Solutions Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177  | 
| Entity Name | Ed Physicians Of West Louisiana, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255460143 PECOS PAC ID: 4880795665 Enrollment ID: O20070724000101  | 
| 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 | Ess Of Ferriday Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346900560 PECOS PAC ID: 2769876275 Enrollment ID: O20220228000365  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Proctor, 2015 Rosedown Dr, Monroe, LA 71201-3084 Ph: (318) 355-8874  | Michael Proctor, 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 333-0703  | 
Dr. Oladapo Lapite, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Stone Ave, Monroe, LA 71201 Phone: 318-323-1040 Fax: 318-323-1134  | |
David L. Barnes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694  | |
Dr. James Dean Stockstill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131  | |
Dr. Tobe Samuel Momah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-388-0948  | |
Dr. Madelyn H Corkern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd # A, Monroe, LA 71201 Phone: 318-807-4951 Fax: 318-812-0808  | |
Mr. Michael T Hayward Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr, Suite B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874  | |
Donald Newton Givler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648  |