Dr Vennus Jennifer Ballen, MD | |
3100 Williams Blvd, Kenner, LA 70065-4505 | |
(504) 443-1744 | |
Not Available |
Full Name | Dr Vennus Jennifer Ballen |
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Gender | Female |
Speciality | Pediatrics |
Location | 3100 Williams Blvd, Kenner, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720302326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 205395 (Louisiana) | Primary |
208000000X | Pediatrics | 258383 (New York) | Secondary |
Entity Name | Independence Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528384773 PECOS PAC ID: 4284759325 Enrollment ID: O20100914000327 |
Mailing Address | Practice Location Address |
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Dr Vennus Jennifer Ballen, MD 88 Shore Rd, Port Washington, NY 11050-2204 Ph: () - | Dr Vennus Jennifer Ballen, MD 3100 Williams Blvd, Kenner, LA 70065-4505 Ph: (504) 443-1744 |
Dr. Brian Jimar Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 W. Esplanade Avenue, Kenner, LA 70065 Phone: 504-464-8588 Fax: 504-988-6808 | |
Christina M Piron, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 W Esplanade Ave Ste 108a, Kenner, LA 70065 Phone: 985-307-1600 Fax: 504-575-3691 | |
Samuel Y Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3813 Williams Blvd, Kenner, LA 70065 Phone: 504-443-5437 | |
Michael Caffery, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3715 Williams Blvd, Kenner, LA 70065 Phone: 504-468-4437 | |
Glenda Johnson Richardson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 3rd Street, Suite 6, Kenner, LA 70062 Phone: 566-125-1044 Fax: 504-466-2014 | |
Edith Luz Linares, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3321 Florida Ave, Kenner, LA 70065 Phone: 504-468-4437 |