| Shane M Mcvay, FNP | |
|
4707 Quitman Highway, Hodge, LA 71247 | |
| (318) 395-1168 | |
| (318) 395-1170 |
| Full Name | Shane M Mcvay |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 4707 Quitman Highway, Hodge, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700222379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | TAP003048 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lagniappe Homecare Northern Louisiana | Winnfield, LA | Home health agency |
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Jackson Parish Hospital | Jonesboro, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Clinic Llc | 4789668831 | 46 |
| Entity Name | Green Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
| Entity Name | Physician Group Of Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316188998 PECOS PAC ID: 8921147067 Enrollment ID: O20091202000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane M Mcvay, FNP 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 | Shane M Mcvay, FNP 4707 Quitman Highway, Hodge, LA 71247 Ph: (318) 395-1168 |
Lacey Lamkin Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4633 Quitman Highway, Hodge, LA 71247 Phone: 318-259-1100 Fax: 318-259-1333 |