| Mrs Mallory Sparacello Sotile, FNP-BC | |
|
163 Burgin Ave, Baton Rouge, LA 70808-4925 | |
| (225) 313-4560 | |
| Not Available |
| Full Name | Mrs Mallory Sparacello Sotile |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 163 Burgin Ave, Baton Rouge, 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 |
|---|---|---|---|
| 1841927431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 226268 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| W Trent Massengale Md Llc | 3173762283 | 4 |
| Entity Name | W Trent Massengale MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255774287 PECOS PAC ID: 3173762283 Enrollment ID: O20130621000422 |
| Entity Name | Wound Management Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20220209000336 |
| Entity Name | Healthcare Plus Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20220324002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mallory Sparacello Sotile, FNP-BC 6558 Clark Plantation Dr, Gonzales, LA 70737-8595 Ph: Not Available | Mrs Mallory Sparacello Sotile, FNP-BC 163 Burgin Ave, Baton Rouge, LA 70808-4925 Ph: (225) 313-4560 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 |
Celeste Buuck, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |