| Toby Wise, FNP-C | |
|
301 W Boundary Ave, Winnfield, LA 71483-3427 | |
| (318) 648-3000 | |
| Not Available |
| Full Name | Toby Wise |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 301 W Boundary Ave, Winnfield, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619415551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09183 (Louisiana) | Primary |
| Entity Name | Winn Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598806127 PECOS PAC ID: 5890692990 Enrollment ID: O20031217000280 |
| Entity Name | Clhg-winn, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629391628 PECOS PAC ID: 6002198736 Enrollment ID: O20190103000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Toby Wise, FNP-C 185 Shows Walker Rd, Jonesboro, LA 71251-6628 Ph: () - | Toby Wise, FNP-C 301 W Boundary Ave, Winnfield, LA 71483-3427 Ph: (318) 648-3000 |
Delinda Cockerham, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971 | |
Jamie Golemon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 Fax: 318-648-0378 | |
Mrs. Amanda Gammel James, PCPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 | |
Shane Louis Pennison, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 | |
Sylvia Denise Powell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971 | |
Mrs. Angela Nicole Thorn, CPNP-PN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 W Court St Ste B, Winnfield, LA 71483 Phone: 318-209-4646 Fax: 318-209-4649 | |
Mrs. Jennifer Mcclure Campbell, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 |