Dr Kalisha Antonia Nelson, DDS | |
1151 Marguerite St Ste 100a, Morgan City, LA 70380-1881 | |
(985) 255-4524 | |
Not Available |
Full Name | Dr Kalisha Antonia Nelson |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 1151 Marguerite St Ste 100a, Morgan City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134493695 | NPI | - | NPPES |
1867241 | Medicaid | LA | |
1A5073 | Other | LA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6724 (Louisiana) | Secondary |
1223G0001X | Dentist - General Practice | 6724 (Louisiana) | Primary |
Entity Name | Teche Action Board Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174579262 PECOS PAC ID: 0648163980 Enrollment ID: O20041109000792 |
Mailing Address | Practice Location Address |
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Dr Kalisha Antonia Nelson, DDS 1151 Marguerite St Ste 100a, Morgan City, LA 70380-1881 Ph: (985) 255-4524 | Dr Kalisha Antonia Nelson, DDS 1151 Marguerite St Ste 100a, Morgan City, LA 70380-1881 Ph: (985) 255-4524 |
Dr. Frank J. Distefano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1016 David Dr, Morgan City, LA 70380 Phone: 985-384-6907 Fax: 985-384-6953 | |
Dr. Robert Arman Adams Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1407 South Rd, Morgan City, LA 70380 Phone: 985-395-2436 Fax: 985-395-2491 | |
Dr. Jane M. Birriel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1151 Marguerite St, Suite 100a, Morgan City, LA 70380 Phone: 985-385-2992 Fax: 985-385-2994 | |
Dr. Bruce J Leblanc, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1234 David Dr, Suite 105, Morgan City, LA 70380 Phone: 985-385-3707 | |
Dr. Dean Leonard Listi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 904 David Dr, Morgan City, LA 70380 Phone: 985-384-4044 Fax: 985-384-4043 | |
Dr. Charles Henry Broussard, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1255 Belleview St, Morgan City, LA 70380 Phone: 985-395-4100 |