| Zachary Psychiatry | |
|
1215 Independence Blvd Bldg 5 Zachary LA 70791-7390 | |
| (225) 278-5754 | |
| Not Available |
| Full Name | Zachary Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1215 Independence Blvd Bldg 5, Zachary, Louisiana |
| Authorized Official Name and Position | Katherine Lee Perkins (OWNER) |
| Authorized Official Contact | 2252785754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Psychiatry 1215 Independence Blvd Bldg 5 Zachary LA 70791-7390 Ph: (225) 376-2128 | Zachary Psychiatry 1215 Independence Blvd Bldg 5 Zachary LA 70791-7390 Ph: (225) 278-5754 |
| NPI Number | 1851163091 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 0749622603 |
|---|---|
| Medicare Enrollment ID | O20240523000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851163091 | NPI | - | NPPES |
| Provider Name | Katherine Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942676911 PECOS PAC ID: 8820308752 Enrollment ID: I20151105001246 |
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