| Susannah Holt, | |
|
1121 Polk St, Mansfield, LA 71052-2524 | |
| (318) 575-2143 | |
| Not Available |
| Full Name | Susannah Holt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1121 Polk St, Mansfield, 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 |
|---|---|---|---|
| 1801624093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 208255 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Urgent Care Llc | 5496908071 | 132 |
| Entity Name | Council for Advancement of Social Service and Education |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285942284 PECOS PAC ID: 8022043710 Enrollment ID: O20051129000114 |
| Entity Name | Calcasieu Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20250729004032 |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah Holt, Po Box 306416, Nashville, TN 37230-6416 Ph: Not Available | Susannah Holt, 1121 Polk St, Mansfield, LA 71052-2524 Ph: (318) 575-2143 |
Carrie Jo Moton, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 513 Washington Ave, Mansfield, LA 71052 Phone: 318-301-6627 Fax: 318-872-7048 |
Jacqueline Loche, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 |
Ashley Rael Sepulvado, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-688-3350 Fax: 866-554-1968 |
Ms. Naishia Lashay Pipkins, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 |