| Edwina Elrod Eley, FNP | |
|
7356 Highway 509, Mansfield, LA 71052 | |
| (318) 871-1633 | |
| (318) 871-1677 |
| Full Name | Edwina Elrod Eley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 7356 Highway 509, 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 |
|---|---|---|---|
| 1144690645 | NPI | - | NPPES |
| 2407058 | Medicaid | LA | |
| CAQH | Other | 13629971 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08431 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franklin Parish Hospital Service District No1 | 7810893302 | 65 |
| Entity Name | Franklin Parish Hospital Service District No1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
| Entity Name | Tensas Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720054075 PECOS PAC ID: 4385657139 Enrollment ID: O20100301000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwina Elrod Eley, FNP 104 Verona St, Newellton, LA 71357-3502 Ph: (318) 871-1633 | Edwina Elrod Eley, FNP 7356 Highway 509, Mansfield, LA 71052 Ph: (318) 871-1633 |
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 |