| Nicole Angela Garnet Mccommon, MD | |
|
112 N Forrest Rd, Plain Dealing, LA 71064-4031 | |
| (318) 326-7272 | |
| (318) 326-7282 |
| Full Name | Nicole Angela Garnet Mccommon |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 112 N Forrest Rd, Plain Dealing, 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 |
|---|---|---|---|
| 1750592440 | NPI | - | NPPES |
| 1038130 | Medicaid | LA | |
| 1444286 | Medicaid | LA | |
| 2302639 | Medicaid | LA | |
| 1092452 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD201547 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ark La Tex Home Health, Inc. | Shreveport, LA | Home health agency |
| Primestar Home Health Of Nwla, Inc | Minden , LA | Home health agency |
| North Caddo Medical Center | Vivian, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Shreveport-bossier Health System | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benton Medical | 1456669654 | 4 |
| North Caddo Hospital Service District | 4385544584 | 11 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20090508000441 |
| Entity Name | Benton Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
| 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 |