Dr John Kelver Willis, MD | |
2810 E Causeway Approach, Mandeville, LA 70448-3502 | |
(985) 875-2340 | |
Not Available |
Full Name | Dr John Kelver Willis |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
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 |
---|---|---|---|
1609894765 | NPI | - | NPPES |
1190951 | Medicaid | LA | |
00125480 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | MD.04407R (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
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 John Kelver Willis, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Dr John Kelver Willis, MD 2810 E Causeway Approach, Mandeville, LA 70448-3502 Ph: (985) 875-2340 |
Dr. Michael Henke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-276-9460 Fax: 289-216-1304 | |
Broderick Letrey Pinkney, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2810 East Causeway Approach, Mandeville, LA 70449 Phone: 985-875-2713 Fax: 504-373-6103 | |
Dr. James Edward Hussey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 375 Winchester Cir, Mandeville, LA 70448 Phone: 985-674-1505 | |
Christopher W. Lartigue, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 820 Lafitte St, Ste. 107, Mandeville, LA 70448 Phone: 985-624-5020 Fax: 985-624-5029 | |
Dr. Thomas L Keister Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Leanne Mcburney Truehart, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 943 Cahoula Ct, Mandeville, LA 70471 Phone: 985-893-7444 Fax: 985-893-0706 | |
Dr. Isfana J Ali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 Wilkinson St, Mandeville, LA 70448 Phone: 985-624-4450 Fax: 985-624-4461 |