Ivan A Villalta-wehmeyer, MD | |
15790 Paul Vega Md, Dr, Hammond, LA 70403 | |
(985) 230-6900 | |
(985) 230-6531 |
Full Name | Ivan A Villalta-wehmeyer |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 15790 Paul Vega Md, Dr, Hammond, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932278181 | NPI | - | NPPES |
1392995 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01032685A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD06771R (Louisiana) | Primary |
Entity Name | Nueces Physician Services, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073028338 PECOS PAC ID: 4486914280 Enrollment ID: O20180215000856 |
Mailing Address | Practice Location Address |
---|---|
Ivan A Villalta-wehmeyer, MD 39359 Bay Dr, Ponchatoula, LA 70454-6657 Ph: (985) 230-6900 | Ivan A Villalta-wehmeyer, MD 15790 Paul Vega Md, Dr, Hammond, LA 70403 Ph: (985) 230-6900 |
Dr. John Hubbard Overton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16031 Deblin Sq, Hwy 51 South, Hammond, LA 70403 Phone: 985-386-9911 Fax: 985-386-7879 | |
Dr. Gina Payton Lagarde, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15481 W Club Deluxe Rd, Hammond, LA 70403 Phone: 985-543-4880 Fax: 985-543-4888 | |
Dr. Christopher Leumas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-542-6089 | |
Dr. Roger Rholdon Sr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-542-6089 | |
Dr. Samuel Hickey Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-542-6089 | |
Abbey Lewis Gallien, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42124 Veterans Ave, Suite A, Hammond, LA 70403 Phone: 985-543-0565 Fax: 985-543-0567 | |
Elizabeth Hazard Fritz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-542-6089 |