| Madison Nunnery Moore, NP | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4000 | |
| Not Available |
| Full Name | Madison Nunnery Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1202 S Tyler St, Covington, Louisiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033967963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 212861 (Louisiana) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Nunnery Moore, NP 18318 Bellingrath Lakes Ave, Greenwell Springs, LA 70739-4760 Ph: (225) 933-1416 | Madison Nunnery Moore, NP 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 |
Allen Trent Herring, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-3800 |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 |