| Stacy Rutledge, FNP-C | |
|
5328 Cypress St, West Monroe, LA 71291-7506 | |
| (318) 396-3636 | |
| (318) 397-3639 |
| Full Name | Stacy Rutledge |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5328 Cypress St, 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 |
|---|---|---|---|
| 1174015002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP09966 (Louisiana) | Primary |
| Entity Name | Community Care Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265671754 PECOS PAC ID: 5597812719 Enrollment ID: O20090406000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Rutledge, FNP-C 5328 Cypress St, West Monroe, LA 71291-7506 Ph: (318) 397-3636 | Stacy Rutledge, FNP-C 5328 Cypress St, West Monroe, LA 71291-7506 Ph: (318) 396-3636 |
Dr. Marshall Vashon Sanson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2309 Arkansas Rd, West Monroe, LA 71291 Phone: 318-397-7000 Fax: 318-737-7203 | |
Amit Warke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4474 | |
Hunter Harrison, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Professional Dr, West Monroe, LA 71291 Phone: 318-966-6535 Fax: 318-322-7319 | |
Dr. George Ronald Woods, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Professional Dr, West Monroe, LA 71291 Phone: 318-387-5244 | |
Mr. Kenneth Paul Metoyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Regency Pl, West Monroe, LA 71291 Phone: 318-812-9999 Fax: 318-323-9399 | |
Dr. Clyde E Elliott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Circle Dr, West Monroe, LA 71291 Phone: 318-388-4863 Fax: 318-388-1144 |