Mark David Kappelman, MD | |
120 Meadowcrest Street, Suite 450, Gretna, LA 70056-5282 | |
(504) 391-7660 | |
(504) 393-2407 |
Full Name | Mark David Kappelman |
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Gender | Male |
Speciality | Surgery |
Location | 120 Meadowcrest Street, Gretna, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912091356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 03015R (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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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 |
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Mark David Kappelman, MD 120 Meadowcrest Street, Suite 450, Gretna, LA 70056-5282 Ph: (504) 391-7660 | Mark David Kappelman, MD 120 Meadowcrest Street, Suite 450, Gretna, LA 70056-5282 Ph: (504) 391-7660 |
Casey Lynn Duvall, MD Surgery Medicare: Medicare Enrolled Practice Location: 308 Sugarpine Dr, Gretna, LA 70056 Phone: 504-494-1044 | |
Bruce Seymour Torrance Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Highway, Gretna, LA 70056 Phone: 504-391-5275 | |
Jeannie Lan Nguyen, Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Ochsner Blvd, Gretna, LA 70056 Phone: 504-595-8020 | |
Christopher Blackstock, M.D., PH.D. Surgery Medicare: Medicare Enrolled Practice Location: 120 Ochsner Blvd, Gretna, LA 70056 Phone: 504-595-8020 Fax: 504-391-8707 | |
Thomas Archer Boos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest Street, Suite 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 | |
Joshua D Parks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-391-5275 | |
Emery August Minnard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Meadowcrest St, Ste 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 |