Dr Paul Ronald Clisham, MD | |
1415 Tulane Ave, New Orleans, LA 70112-2600 | |
(504) 988-5271 | |
(504) 988-7655 |
Full Name | Dr Paul Ronald Clisham |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 1415 Tulane Ave, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508942715 | NPI | - | NPPES |
1920126 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 016589 (Louisiana) | Primary |
Entity Name | Administrators Of The Tulane Educational Fund |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
Mailing Address | Practice Location Address |
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Dr Paul Ronald Clisham, MD 1430 Tulane Ave, Sl-11, New Orleans, LA 70112-2632 Ph: (504) 988-5217 | Dr Paul Ronald Clisham, MD 1415 Tulane Ave, New Orleans, LA 70112-2600 Ph: (504) 988-5271 |
Huong Dien Pham, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4626 Alcee Fortier Blvd D, New Orleans, LA 70129 Phone: 504-324-8760 Fax: 504-324-9074 | |
Dr. Rebecca U Perret, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3434 Prytania St, Suite 130, New Orleans, LA 70115 Phone: 504-897-7676 Fax: 504-897-7632 | |
Dr. Louis Paul Dutreil, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3434 Prytania St, Suite 130, New Orleans, LA 70115 Phone: 504-897-7676 Fax: 504-897-7632 | |
Susan R Hemelt, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3712 Macarthur Blvd, Suite 200, New Orleans, LA 70114 Phone: 504-367-6971 Fax: 504-367-9181 | |
Caroline Ragheb Juneau, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4321 Magnolia St, New Orleans, LA 70115 Phone: 504-891-1390 | |
Dreda Romig Lutkewitte, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1401 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3173 | |
Dr. William Sargent, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3712 Macarthur Blvd, New Orleans, LA 70114 Phone: 504-366-5032 |