Brandi Nichole Gilmore, MD | |
4608 Highway 1, Raceland, LA 70394-2623 | |
(985) 537-2273 | |
Not Available |
Full Name | Brandi Nichole Gilmore |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 4608 Highway 1, Raceland, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164627824 | NPI | - | NPPES |
08274835 | Medicaid | MS | |
1506877 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD.201388 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Priority Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609136563 PECOS PAC ID: 5395972988 Enrollment ID: O20131205000208 |
Mailing Address | Practice Location Address |
---|---|
Brandi Nichole Gilmore, MD 1514 Jefferson Highway, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Brandi Nichole Gilmore, MD 4608 Highway 1, Raceland, LA 70394-2623 Ph: (985) 537-2273 |
Dr. Paula M Wilt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4608 Highway 1, Raceland, LA 70394 Phone: 985-537-6841 | |
Anita Fazzio, PMHNP-BC Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 141 Twin Oaks Dr, Raceland, LA 70394 Phone: 985-537-2666 | |
Dr. Daren D Parsa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 157 Twin Oaks Drive, Raceland, LA 70394 Phone: 985-537-6823 Fax: 985-537-5519 | |
Dr. Jamie Bourgeois Huddleston, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4608 Highway 1, Raceland, LA 70394 Phone: 985-537-6841 | |
Dr. Marjorie Nathan Person, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4608 Highway 1, Raceland, LA 70394 Phone: 985-537-2273 |