New Orleans East Behavioral Health Clinic | |
5630 Read Blvd New Orleans LA 70127-3106 | |
(504) 361-6500 | |
(504) 243-7610 |
Full Name | New Orleans East Behavioral Health Clinic |
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Speciality | Community/Behavioral Health |
Location | 5630 Read Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Traci R Brown (CHIEF FISCAL OFFICER) |
Authorized Official Contact | 5045683130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Orleans East Behavioral Health Clinic 400 Poydras Street Ste 1800 New Orleans LA 70130 Ph: (504) 568-3130 | New Orleans East Behavioral Health Clinic 5630 Read Blvd New Orleans LA 70127-3106 Ph: (504) 361-6500 |
NPI Number | 1790990604 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 06/03/2021 |
Certification Date | 06/03/2021 |
Medicare PECOS PAC ID | 6901966407 |
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Medicare Enrollment ID | O20081202000495 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790990604 | NPI | - | NPPES |
1710610 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 140 (Louisiana) | Primary |
Provider Name | Eric S Kramer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750470886 PECOS PAC ID: 6800827353 Enrollment ID: I20050825000137 |
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