Tara Mitchell, MD | |
2370 Gause Boulevard, Slidell, LA 70464 | |
(985) 639-3755 | |
Not Available |
Full Name | Tara Mitchell |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2370 Gause Boulevard, Slidell, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104034248 | NPI | - | NPPES |
1151441 | Medicaid | LA | |
009910486 | Medicaid | AL | |
03585311 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 27112 (Alabama) | Secondary |
208000000X | Pediatrics | MD.202215 (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 |
---|---|
Tara Mitchell, MD 1514 Jefferson Hwy, New Orleans, LA 70121 Ph: (504) 842-4000 | Tara Mitchell, MD 2370 Gause Boulevard, Slidell, LA 70464 Ph: (985) 639-3755 |
Jessica Turner Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1346 Lindberg Dr, Suite 7, Slidell, LA 70458 Phone: 985-646-1580 Fax: 985-646-1579 | |
Dr. Cherie G Oertling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59125 N Pearl Dr, Slidell, LA 70461 Phone: 985-643-7927 Fax: 985-641-0209 | |
Dr. Sheryl Lynn Rowland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 Robert Blvd Ste 330, Slidell, LA 70458 Phone: 985-280-7337 Fax: 985-280-7340 | |
Dr. Jonette H Mayer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2750 Gause Blvd E, Slidell, LA 70461 Phone: 985-639-3777 | |
Laura L Place, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2370 Gause Blvd E, Slidell, LA 70461 Phone: 985-639-3777 Fax: 985-639-3778 | |
Tracie Najolia Carter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 Robert Blvd Ste 330, Slidell, LA 70458 Phone: 985-280-7337 Fax: 985-280-7340 |