| Ashley Rael Sepulvado, FNP-C | |
|
907 Polk St, Mansfield, LA 71052-2520 | |
| (318) 688-3350 | |
| (866) 554-1968 |
| Full Name | Ashley Rael Sepulvado |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 907 Polk St, Mansfield, 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 |
|---|---|---|---|
| 1336983543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 208332 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Council For Advancement Of Social Service And Education | 8022043710 | 10 |
| Entity Name | Council For Advancement Of Social Service And Education |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285942284 PECOS PAC ID: 8022043710 Enrollment ID: O20051129000114 |
| Entity Name | Allegiance Hospital Of Many, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568626273 PECOS PAC ID: 3274607551 Enrollment ID: O20080924000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Rael Sepulvado, FNP-C 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 Ph: (318) 496-3302 | Ashley Rael Sepulvado, FNP-C 907 Polk St, Mansfield, LA 71052-2520 Ph: (318) 688-3350 |
Carrie Jo Moton, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 513 Washington Ave, Mansfield, LA 71052 Phone: 318-301-6627 Fax: 318-872-7048 | |
Susannah Holt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Polk St, Mansfield, LA 71052 Phone: 318-575-2143 | |
Ms. Naishia Lashay Pipkins, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 |