Bonnie Claire Desselle, MD | |
Pediatric Pulmonary And Critical Care Associates, 200 Henry Clay Ave, New Orleans, LA 70119 | |
(504) 896-9263 | |
Not Available |
Full Name | Bonnie Claire Desselle |
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Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | Pediatric Pulmonary And Critical Care Associates, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942223862 | NPI | - | NPPES |
1661473 | Medicaid | LA | |
00126659 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 019870 (Louisiana) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 019870 (Louisiana) | Primary |
Entity Name | Louisiana State University School Of Med In New Orleans Faculty Grou |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932492626 PECOS PAC ID: 9739358722 Enrollment ID: O20110810000538 |
Mailing Address | Practice Location Address |
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Bonnie Claire Desselle, MD 200 Henry Clay Ave, New Orleans, LA 70118-5720 Ph: (504) 412-1835 | Bonnie Claire Desselle, MD Pediatric Pulmonary And Critical Care Associates, 200 Henry Clay Ave, New Orleans, LA 70119 Ph: (504) 896-9263 |
Dr. Walter Jordan Hoyt Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 Fax: 504-842-5647 | |
Dr. Michael David Weiland Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1319 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 Fax: 504-842-5848 | |
Jamie Nicole Vernor, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 | |
Dr. Brian Barkemeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Henry Clay Ave, New Orleans, LA 70118 Phone: 504-896-9418 | |
Dr. James Robinson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-2300 Fax: 504-988-8886 | |
Dr. Brandace J Hider, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2820 Napoleon Ave Ste 950, New Orleans, LA 70115 Phone: 504-897-4242 | |
Dr. Lutifat Kashimawo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 |