Avery H Sampson, MD | |
4225 Lapalco Blvd, Marrero, LA 70073-2400 | |
(504) 391-7337 | |
(504) 398-7213 |
Full Name | Avery H Sampson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4225 Lapalco Blvd, Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992916621 | NPI | - | NPPES |
08505299 | Medicaid | MS | |
2164571 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T-1939 (Mississippi) | Secondary |
208000000X | Pediatrics | 204871 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Avery H Sampson, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Avery H Sampson, MD 4225 Lapalco Blvd, Marrero, LA 70073-2400 Ph: (504) 391-7337 |
Dr. Roselyn St Etienne, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4701 Westbank Expy Ste 7, Marrero, LA 70072 Phone: 504-582-9922 Fax: 504-582-9928 | |
Dr. Robert L. Guy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7259 | |
Mrs. Oleitha Wilson-ruffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7213 | |
Dr. Emilio J Saturno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072 Phone: 504-349-6504 Fax: 504-349-6528 | |
Lindsay York Fantaci, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite N803, Marrero, LA 70072 Phone: 504-934-8333 Fax: 504-934-8334 | |
Jude J Cope, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr Ste 307, Marrero, LA 70072 Phone: 504-509-5437 Fax: 504-309-9307 | |
Xiaoyun Shang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 829 Barataria Blvd, Marrero, LA 70072 Phone: 504-368-7337 Fax: 504-368-7376 |