Theresa Jeanne Nuttli, | |
520 Ridgewood Dr, Metairie, LA 70001-6126 | |
(504) 460-0270 | |
Not Available |
Full Name | Theresa Jeanne Nuttli |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 16 Years |
Location | 520 Ridgewood Dr, Metairie, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346484235 | NPI | - | NPPES |
1883972 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD.206812 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Ochsner Medical Center-kenner | Kenner, LA | Hospital |
Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Ochsner Mississippi, Llc | 0143580993 | 90 |
Entity Name | Ochsner Clinic Llc |
---|---|
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 |
---|---|
Theresa Jeanne Nuttli, 1978 Industrial Blvd, Houma, LA 70363-7055 Ph: (504) 460-0270 | Theresa Jeanne Nuttli, 520 Ridgewood Dr, Metairie, LA 70001-6126 Ph: (504) 460-0270 |
Richard Douglas Demoss, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-545-5683 Fax: 504-456-8195 | |
Joan Theresa Hoffpauir, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 | |
Dr. Erin Nicole Vicknair, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Arthur Herman Reif, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Department Of Pathology, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Barry William Sartin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 S I 10 Service Rd W, Metairie, LA 70001 Phone: 504-883-4817 Fax: 504-883-4911 | |
Barry James Breaux, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 |