Amanda Stewart (NPI# 1548756778, PAC ID# 8729325493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548756778 |
| PAC ID by PECOS | 8729325493 |
| Professional Enrollment ID | I20190204001778 |
| Full Name | Amanda Stewart |
| Organization Legal Name | WEST OUACHITA FAMILY MEDICINE LLC |
| Address |
3057 Hwy 80 W Calhoun LA 71225-7907 |
| Phone Number | 3186445838 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668698986 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3057 Hwy 80 W, Calhoun, LA 71225-7907 | 3186445838 | WEST OUACHITA FAMILY MEDICINE LLC |
| Organization Legal Name | WEST OUACHITA FAMILY MEDICINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Hancock | Nurse Practitioner | West Ouachita Family Medicine LLC | 3057 Hwy 80 W, Calhoun, LA 71225-7907 |
| Street Address |
3057 HWY 80 W |
| City | CALHOUN |
| State | LA |
| Zip | 71225-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Hancock | Nurse Practitioner | West Ouachita Family Medicine LLC | 3057 Hwy 80 W, Calhoun, LA 71225-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnathan C Baines | Family Medicine | Green Clinic LLC | 3030 Hwy 80 W, Green Clinic Calhoun, Calhoun, LA 71225-7906 |
| Reynaldo Yatco | Diagnostic Radiology | Brown-folse Radiology Group, LLC | 1240 Richardson Rd, Calhoun, LA 71225-9440 |
| City | CALHOUN |
| Zip Code | 71225 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CALHOUN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.