Libeau Joseph Berthelot, MD | |
82525 Highway 25, Folsom, LA 70437-6111 | |
(985) 839-9895 | |
(985) 839-9884 |
Full Name | Libeau Joseph Berthelot |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 82525 Highway 25, Folsom, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023039476 | NPI | - | NPPES |
1300624 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 013196 (Louisiana) | Primary |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275539363 PECOS PAC ID: 0749273761 Enrollment ID: O20040406000728 |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003 |
Mailing Address | Practice Location Address |
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Libeau Joseph Berthelot, MD Po Box 54482, New Orleans, LA 70154-4482 Ph: (985) 839-9895 | Libeau Joseph Berthelot, MD 82525 Highway 25, Folsom, LA 70437-6111 Ph: (985) 839-9895 |
Dr. Victoria Reyes Blossman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 82525 Highway 25, Folsom, LA 70437 Phone: 985-898-4001 | |
Christopher Foret, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 82525 Highway 25, Folsom, LA 70437 Phone: 985-839-9895 Fax: 985-839-9884 | |
Mr. Robert Julian Segura Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13242 Finley Rd., Folsom, LA 70437 Phone: 504-615-9704 | |
Mark L. James, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 82525 Highway 25, Folsom, LA 70437 Phone: 985-839-9895 Fax: 985-839-9884 |