Kim A Wise-gastinell, ADD is a
Psychologist - Counseling based in Baton Rouge, Louisiana. Kim A Wise-gastinell is licensed to practice in Louisiana (license number PLC9874) and her current practice location is
5635 Tarrytown Ave, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 476-3809.
NPI number for Kim A Wise-gastinell is 1255791802 and her current mailing address is 5635 Tarrytown Ave, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255791802.
Healthcare Provider's Profile
Full Name | Kim A Wise-gastinell |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 5635 Tarrytown Ave, 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: 1255791802
- Provider Enumeration Date: 02/24/2016
- Last Update Date: 11/06/2023
Medical Identifiers
Medical identifiers for Kim A Wise-gastinell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255791802 | NPI | - | NPPES |
PLC9874 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | PLC9874 (Louisiana) | 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. Kim A Wise-gastinell 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 |
Kim A Wise-gastinell, ADD 5635 Tarrytown Ave, Baton Rouge, LA 70808-3535 Ph: (225) 476-3809 | Kim A Wise-gastinell, ADD 5635 Tarrytown Ave, Baton Rouge, LA 70808-3535 Ph: (225) 476-3809 |
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