Dr Jeevan Kumar Yenuganti, BDS, MSPH | |
30575 Old Baton Rouge Hwy, Hammond, LA 70403 | |
(225) 306-2067 | |
Not Available |
Full Name | Dr Jeevan Kumar Yenuganti |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 30575 Old Baton Rouge Hwy, Hammond, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083801880 | NPI | - | NPPES |
034897 | Other | LA | CDS |
1864218 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6421 (Louisiana) | Primary |
Entity Name | Southeast Community Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023147113 PECOS PAC ID: 4284610437 Enrollment ID: O20050124000119 |
Entity Name | Marillac Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396059796 PECOS PAC ID: 3678755535 Enrollment ID: O20110314000767 |
Entity Name | Southeast Community Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366617367 PECOS PAC ID: 4284610437 Enrollment ID: O20120808000592 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeevan Kumar Yenuganti, BDS, MSPH 2357 Ormond Blvd, Destrehan, LA 70047-2103 Ph: (504) 638-8466 | Dr Jeevan Kumar Yenuganti, BDS, MSPH 30575 Old Baton Rouge Hwy, Hammond, LA 70403 Ph: (225) 306-2067 |
Christopher Peter Blanchard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 W Minnesota Park Rd, Hammond, LA 70403 Phone: 985-542-3368 | |
Dr. Russell P Mayer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 910 W Thomas St, Hammond, LA 70401 Phone: 985-345-2285 | |
Dr. Joel Trion Harris, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1403 Derek Dr, Hammond, LA 70403 Phone: 985-345-5856 Fax: 985-345-5856 | |
Bradley Clawson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 W Minnesota Park Rd, Hammond, LA 70403 Phone: 985-542-3368 | |
Dr. Ralph W. Wilson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1607 Martens Dr, Hammond, LA 70401 Phone: 985-345-6094 Fax: 985-345-0108 | |
Dr. Bryan C. Clawson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 212 W Minnesota Park Rd, Hammond, LA 70403 Phone: 985-542-3368 Fax: 985-542-3335 |