| Lacy Culver Vincent, PA | |
|
4396 Highway 80, Ruston, LA 71270-8948 | |
| (318) 550-8928 | |
| Not Available |
| Full Name | Lacy Culver Vincent |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4396 Highway 80, Ruston, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831667104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 310464 (Louisiana) | Primary |
| Entity Name | Highland Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154913861 PECOS PAC ID: 6800295890 Enrollment ID: O20210524002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Culver Vincent, PA 4396 Highway 80, Ruston, LA 71270-8948 Ph: (318) 251-4659 | Lacy Culver Vincent, PA 4396 Highway 80, Ruston, LA 71270-8948 Ph: (318) 550-8928 |
Mr. David Michael Lofstrom, A.P.R.N. Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 South Vienna, Ruston, LA 71270 Phone: 318-251-8001 Fax: 318-699-8845 |
Mr. Mark Douglas Ganey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 310 W Mississippi Ave, Ruston, LA 71270 Phone: 318-513-1212 |
Charles A. Furr Iii, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2916 N Trenton St, Ruston, LA 71270 Phone: 318-254-2892 Fax: 318-254-2898 |
Linzie L Hebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 911 Tech Dr, Ruston, LA 71270 Phone: 318-265-6376 Fax: 318-265-6377 |
Sarah Snowden, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 401 E Vaughn Ave, Ruston, LA 71270 Phone: 318-254-2100 |
Mrs. Renee Schwartzenburg Coleman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 E Vaughn Ave, Ruston, LA 71270 Phone: 318-254-2100 |
Mr. John Weston Evans, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 902 S Vienna St, Ruston, LA 71270 Phone: 318-513-1950 |