Mr Charles Louis Dupin, MD | |
1111 Medical Center Blvd, Ste S 640, Marrero, LA 70072-3151 | |
(504) 349-6460 | |
(504) 349-6463 |
Full Name | Mr Charles Louis Dupin |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1111 Medical Center Blvd, Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578564134 | NPI | - | NPPES |
09274771 | Medicaid | MS | |
1195740 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | MD.011012 (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 |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Louis Dupin, MD 1111 Medical Center Blvd, Ste S 640, Marrero, LA 70072-3151 Ph: (504) 349-6460 | Mr Charles Louis Dupin, MD 1111 Medical Center Blvd, Ste S 640, Marrero, LA 70072-3151 Ph: (504) 349-6460 |
Mr. Jonathan Charles Boraski, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Ste S 640, Marrero, LA 70072 Phone: 504-349-6460 Fax: 504-349-6463 | |
Dr. Juan Ramon Escobar, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, 510-n, Marrero, LA 70072 Phone: 504-349-6330 |