MEDICARE: OTISHA CHARMETRIC SUMMERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	18177	LA

General Provider Information

NPI Number	:	1336991124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OTISHA CHARMETRIC SUMMERS

Provider Business Mailing Address
First Line	:	231 CHURCH ST
Second Line	:
City	:	RAYVILLE
State	:	LA
Zip	:	71269-2054
Country	:	US
Telephone Number	:	318-303-2877
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 TOWER DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5045
Country	:	US
Telephone Number	:	318-323-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	12/01/2025

Similar Medicare Providers

1023260486 — INTEGRATED HEALTH SERVICES INCORPORATED
Practice Location Address:

2101 TOWER DR
MONROE, LA
71201-5045

Practice Phone: 318-410-1044
Practice Fax:

1598919649 — NORTHEAST MEDICAL TRANSIT, INC.
Practice Location Address:

2101 TOWER DR
MONROE, LA
71201-5045

Practice Phone: 318-387-4878
Practice Fax: 318-387-1317

1124334412 — SANDRA LYNN COLEMAN FNP-C
Practice Location Address:

2101 TOWER DR
MONROE, LA
71201-5045

Practice Phone: 318-387-4878
Practice Fax: 318-387-1317

1790082238 — PEOPLE UNITED OF LOUISIANA LLC
Practice Location Address:

2101 TOWER DR STE A
MONROE, LA
71201-5045

Practice Phone: 318-323-1300
Practice Fax: 318-323-1400

1346582400 — BURRELL MOBILE LAB
Practice Location Address:

2101 TOWER DR
MONROE, LA
71201-5045

Practice Phone: 504-210-6317
Practice Fax:

1306217062 — PEOPLE UNITED OF LOUISIANA, LLC
Practice Location Address:

2101 TOWER DR STE B
MONROE, LA
71201-5045

Practice Phone: 318-570-5400
Practice Fax: 318-323-1400

Directions to “ OTISHA CHARMETRIC SUMMERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.