Nicole Angela Garnet Mccommon, MD is a medicare enrolled "Family Medicine" physician in Plain Dealing, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Benton Medical, North Caddo Hospital Service District and her current practice location is
112 N Forrest Rd, Plain Dealing, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 326-7272.
Nicole Angela Garnet Mccommon is licensed to practice in Louisiana (license number MD201547) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750592440.
Physician's Profile
Full Name | Nicole Angela Garnet Mccommon |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 19 Years |
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Location | 112 N Forrest Rd, Plain Dealing, Louisiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Angela Garnet Mccommon attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2005
NPI Data:
- NPI Number: 1750592440
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 09/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981780947
- Enrollment ID: I20080401000169
Medical Identifiers
Medical identifiers for Nicole Angela Garnet Mccommon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750592440 | NPI | - | NPPES |
1038130 | Medicaid | LA | |
1092452 | Medicaid | LA | |
1444286 | Medicaid | LA | |
2302639 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD201547 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Benton Medical | 1456669654 | 2 |
North Caddo Hospital Service District | 4385544584 | 13 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Angela Garnet Mccommon allows following entities to bill medicare on her behalf.
Entity Name | North Caddo Hospital Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
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Entity Name | North Caddo Hospital Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
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Entity Name | Benton Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Angela Garnet Mccommon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Angela Garnet Mccommon, MD 112 Forest St, Plain Dealing, LA 71064-4031 Ph: (318) 326-7272 | Nicole Angela Garnet Mccommon, MD 112 N Forrest Rd, Plain Dealing, LA 71064-4031 Ph: (318) 326-7272 |
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