| Penny Cummins Montcalm, NP | |
|
261 Highway 132, Mangham, LA 71259-5269 | |
| (318) 248-2807 | |
| (318) 248-2967 |
| Full Name | Penny Cummins Montcalm |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 261 Highway 132, Mangham, 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 |
|---|---|---|---|
| 1376877241 | NPI | - | NPPES |
| 2458132 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RNO077152 APO4877 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Foot And Ankle Clinic Of West Monroe Llc | 7911125968 | 3 |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Entity Name | Specialty Extended Care Hospital Of Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528385382 PECOS PAC ID: 2860516929 Enrollment ID: O20101115000026 |
| Entity Name | The Foot And Ankle Clinic Of West Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013328996 PECOS PAC ID: 7911125968 Enrollment ID: O20141202002105 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Cummins Montcalm, NP 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Penny Cummins Montcalm, NP 261 Highway 132, Mangham, LA 71259-5269 Ph: (318) 248-2807 |
Ashley N Hale, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 | |
Mrs. Elizabeth Hoskins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 | |
Mrs. Terri Lynn Klick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Lela St, Mangham, LA 71259 Phone: 318-248-4100 Fax: 318-248-4103 | |
Benjamin W Hayden, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 | |
Jyssica Sullivan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 | |
Mrs. Lashelle S Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Lela St, Mangham, LA 71259 Phone: 313-248-4100 Fax: 318-248-4103 |