| Peyton R Hall, MD | |
|
417 Mcmillan Rd, West Monroe, LA 71291-5325 | |
| (318) 322-7119 | |
| (318) 325-8475 |
| Full Name | Peyton R Hall |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 417 Mcmillan Rd, West 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 |
|---|---|---|---|
| 1508869801 | NPI | - | NPPES |
| 1166286 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 012274 (Louisiana) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Peyton R Hall, MD 312 Grammont St, Suite 300, Monroe, LA 71201-7457 Ph: (318) 388-4030 | Peyton R Hall, MD 417 Mcmillan Rd, West Monroe, LA 71291-5325 Ph: (318) 322-7119 |
Dellie H Clark, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 417 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-388-4030 Fax: 318-324-3334 | |
Dawn W Pennebaker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 417 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-322-7119 Fax: 318-325-8475 | |
Dr. Leslie Robin Coffman, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 401 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-387-3113 | |
Gwenn V Jackson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 417 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-322-7119 Fax: 318-325-8475 | |
Adrienne M Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 417 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-388-4030 Fax: 318-325-8437 |