Dr George Dudley Grove, MD | |
1978 Industrial Blvd, Houma, LA 70363-7055 | |
(985) 873-2200 | |
Not Available |
Full Name | Dr George Dudley Grove |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1978 Industrial Blvd, Houma, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689889644 | NPI | - | NPPES |
1215708 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD.201344 (Louisiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD.201344 (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 | Community Medical Group-st. Charles Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407281546 PECOS PAC ID: 0648405167 Enrollment ID: O20131108000254 |
Mailing Address | Practice Location Address |
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Dr George Dudley Grove, MD 330 S Diamond St, New Orleans, LA 70130-3808 Ph: (504) 432-7093 | Dr George Dudley Grove, MD 1978 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 873-2200 |
Nicolas Vergara, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Blvd., Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Michael P Charlet, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1022 Belanger St, Houma, LA 70360 Phone: 985-223-3132 Fax: 982-223-3126 | |
Dr. Melanie Vega Renner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5599 Highway 311, Houma, LA 70360 Phone: 985-857-3615 Fax: 985-857-3706 | |
Mrs. Megan Lindsey Bergeron, PMHNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-333-2020 | |
Dr. Michelle R Simon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |