| Jacqueline Loche, NP-C | |
|
130 Jefferson St, Mansfield, LA 71052-2602 | |
| (318) 872-2700 | |
| (318) 872-6214 |
| Full Name | Jacqueline Loche |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 130 Jefferson 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 |
|---|---|---|---|
| 1205434768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 213836 (Louisiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 213836 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desoto Regional Health System | Mansfield, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desoto Regional Family Medicine | 7719970599 | 8 |
| Desoto Hospital Association | 2163321829 | 35 |
| Entity Name | Desoto Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
| Entity Name | Desoto Regional Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043359839 PECOS PAC ID: 7719970599 Enrollment ID: O20040412001175 |
| Entity Name | Desoto Hospital Assocation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457489593 PECOS PAC ID: 8022188176 Enrollment ID: O20080602000779 |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Loche, NP-C 130 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-2700 | Jacqueline Loche, NP-C 130 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-2700 |
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 |
Ashley Rael Sepulvado, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-688-3350 Fax: 866-554-1968 |
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 |