Dr Charles M Kantrow Iii, MD | |
2810 E Causeway Approach, Mandeville, LA 70448-3502 | |
(985) 875-2340 | |
Not Available |
Full Name | Dr Charles M Kantrow Iii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2810 E Causeway Approach, Mandeville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770531097 | NPI | - | NPPES |
A1976580 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD.020617 (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 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles M Kantrow Iii, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Dr Charles M Kantrow Iii, MD 2810 E Causeway Approach, Mandeville, LA 70448-3502 Ph: (985) 875-2340 |
Mrs. Christina Lewis, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-674-2227 Fax: 985-674-1227 | |
Dr. Victor W Lucas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Jennifer Lynn Parkerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Naglaa A Shourbaji, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Julie Marie Baham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Tin Tin Swe Devoe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4880 Highway 22, Mandeville, LA 70471 Phone: 985-845-8894 Fax: 985-845-1969 | |
Dr. Michael White, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 |