Eleasia Joanetta Wilson, is a
Community/behavioral Health based in Baton Rouge, Louisiana. Eleasia Joanetta Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
4348 S Jeffrey Dr, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 361-0483.
NPI number for Eleasia Joanetta Wilson is 1689181620 and her current mailing address is 4348 S Jeffrey Dr, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689181620.
Healthcare Provider's Profile
Full Name | Eleasia Joanetta Wilson |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 4348 S Jeffrey Dr, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689181620
- Provider Enumeration Date: 12/29/2017
- Last Update Date: 04/04/2023
Medical Identifiers
Medical identifiers for Eleasia Joanetta Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689181620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC-5132 (Louisiana) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eleasia Joanetta Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eleasia Joanetta Wilson, 4348 S Jeffrey Dr, Baton Rouge, LA 70816-4196 Ph: (225) 361-0483 | Eleasia Joanetta Wilson, 4348 S Jeffrey Dr, Baton Rouge, LA 70816-4196 Ph: (225) 361-0483 |
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