| Dawn C Malcom, FNP-C | |
|
106 Avenue B, Suite B, Bogalusa, LA 70427 | |
| (985) 730-6950 | |
| (985) 545-1036 |
| Full Name | Dawn C Malcom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 106 Avenue B, Bogalusa, 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 |
|---|---|---|---|
| 1215439690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902463 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP09749 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmol Health Our Lady Of The Angels | Bogalusa, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Angels Hospital Inc | 7012144322 | 78 |
| Entity Name | Our Lady of the Lake Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Our Lady of the Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn C Malcom, FNP-C 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 730-6950 | Dawn C Malcom, FNP-C 106 Avenue B, Suite B, Bogalusa, LA 70427 Ph: (985) 730-6950 |
Elizabeth Michelle Fitzgerald, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-730-6970 |
Mrs. Leslie S Arceneaux, MSN, C-FNP, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Avenue B Ste B, Bogalusa, LA 70427 Phone: 985-730-6950 Fax: 985-545-1036 |
Mr. Alvin Gene Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2781 S Columbia St, Bogalusa, LA 70427 Phone: 985-241-5525 Fax: 985-241-5530 |
Ms. Lisa Penton Mejia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St Ste 38, Bogalusa, LA 70427 Phone: 987-730-2284 Fax: 985-730-2305 |
Mr. James Anthony Seal, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 Avenue F, Bogalusa, LA 70427 Phone: 985-730-6970 Fax: 985-735-8883 |
Jacqueline Baudier Walter, PNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 626 Superior Ave, Bogalusa, LA 70427 Phone: 985-730-6670 Fax: 985-730-6671 |
Jessica Oalmann Manchester, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 877-485-4474 |