Shannon L Moe, RN, APRN FNP-C | |
1514 Doctors Dr, Bossier City, LA 71111-3379 | |
(318) 549-2500 | |
(318) 549-2555 |
Full Name | Shannon L Moe |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1514 Doctors Dr, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255949921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WH0200X | Registered Nurse - Home Health | RN119419 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 214569 (Louisiana) | Primary |
Entity Name | David Raines Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191127001718 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
Mailing Address | Practice Location Address |
---|---|
Shannon L Moe, RN, APRN FNP-C Po Box 310, Calhoun, LA 71225-0310 Ph: (318) 237-1344 | Shannon L Moe, RN, APRN FNP-C 1514 Doctors Dr, Bossier City, LA 71111-3379 Ph: (318) 549-2500 |
Mrs. Collette G Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7902 Fax: 318-212-7905 | |
Mrs. Crystal Boyer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Wills Way, Bossier City, LA 71112 Phone: 318-617-3734 | |
Celina Marsha Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1524 Doctors Dr, Bossier City, LA 71111 Phone: 318-742-1623 | |
Twyla Hurst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3330 Barksdale Blvd, Bossier Family Medical Clinic, Bossier City, LA 71112 Phone: 318-841-5541 Fax: 318-841-5545 | |
Cortney L Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 330, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855 | |
Ava C Mcelwee, APRNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 140, Bossier City, LA 71111 Phone: 318-746-4842 Fax: 318-746-2326 | |
Stacey Wright Eaves, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111 Phone: 318-752-2328 Fax: 318-746-0160 |