Dr Andrea Natalie Blake-mcmahon, MD | |
129 Minden Shopping Dr, Minden, LA 71055-2770 | |
(318) 377-2007 | |
(318) 377-3099 |
Full Name | Dr Andrea Natalie Blake-mcmahon |
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Gender | Female |
Speciality | Internal Medicine |
Location | 129 Minden Shopping Dr, Minden, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497710792 | NPI | - | NPPES |
1150185 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14851R (Louisiana) | Primary |
208000000X | Pediatrics | 14851R (Louisiana) | Secondary |
Entity Name | All Age Medical P.c., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548440811 PECOS PAC ID: 1557311644 Enrollment ID: O20050126000808 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrea Natalie Blake-mcmahon, MD 1007 Gould Dr, Ste 1, Bossier City, LA 71111-4971 Ph: (318) 377-2007 | Dr Andrea Natalie Blake-mcmahon, MD 129 Minden Shopping Dr, Minden, LA 71055-2770 Ph: (318) 377-2007 |
Dr. Manish Dhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10600 Industrial Dr, Minden, LA 71055 Phone: 318-239-4860 Fax: 318-588-8820 | |
Pallavi Shirsat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Monroe Street, Suite B, Minden, LA 71055 Phone: 318-377-7290 Fax: 318-377-7290 | |
Neerja Gulati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Office Park Dr, Minden, LA 71055 Phone: 318-371-4041 Fax: 318-371-4043 |