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Segalit M Rivera-Murray, PA

Physician Assistant in Stonewall, LA. Individual provider (NPI-1).

NPI number1457636664
StatusActive
Last updated in NPPESNov 11, 2020

Details

NPI
1457636664
Entity type
Individual (NPI-1)
Name
Segalit M Rivera-Murray
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2011
Certification date
Nov 11, 2020
Last updated
Nov 11, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA200510LAYes
207Q00000X Family MedicinePA200510LA

Practice location

160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906

Phone 318-925-3338 · Fax 318-747-8150

Mailing address

2539 Viking Dr Ste 101
Bossier City, LA 71111-2165

Phone 318-747-8100 · Fax 318-747-8150

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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