| One Direction Healthcare, Llc | |
|
103 Galeria Blvd Slidell LA 70458-1246 | |
| (985) 214-9079 | |
| (985) 214-9178 |
| Full Name | One Direction Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Galeria Blvd, Slidell, Louisiana |
| Authorized Official Name and Position | Melissa J Watson (CEO) |
| Authorized Official Contact | 9852149079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Direction Healthcare, Llc 103 Galeria Blvd Slidell LA 70458-1246 Ph: (985) 214-9079 | One Direction Healthcare, Llc 103 Galeria Blvd Slidell LA 70458-1246 Ph: (985) 214-9079 |
| NPI Number | 1376909036 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 8921389115 |
|---|---|
| Medicare Enrollment ID | O20161230000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376909036 | NPI | - | NPPES |
| 2411241 | Medicaid | LA |
| Provider Name | Melissa Ann Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891185948 PECOS PAC ID: 4486950045 Enrollment ID: I20160308000428 |
| Provider Name | Victoria Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396504775 PECOS PAC ID: 3173962594 Enrollment ID: I20240418002076 |
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