| Viemed Clinical Services, Llc | |
|
625 E Kaliste Saloom Rd Ste 400-n Lafayette LA 70508-2540 | |
| (337) 504-3802 | |
| (337) 504-4409 |
| Full Name | Viemed Clinical Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 625 E Kaliste Saloom Rd Ste 400-n, Lafayette, Louisiana |
| Authorized Official Name and Position | Ryan Garrett Sullivan (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3372557438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viemed Clinical Services, Llc 625 E Kaliste Saloom Rd Ste 400-n Lafayette LA 70508-2540 Ph: (833) 452-0220 | Viemed Clinical Services, Llc 625 E Kaliste Saloom Rd Ste 400-n Lafayette LA 70508-2540 Ph: (337) 504-3802 |
| NPI Number | 1235759275 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 9830501543 |
|---|---|
| Medicare Enrollment ID | O20201221002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235759275 | NPI | - | NPPES |
| Provider Name | Zona Lee-pietrogallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861980898 PECOS PAC ID: 6709298573 Enrollment ID: I20201221000151 |
| Provider Name | Taylor C Degroat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558951640 PECOS PAC ID: 4789099581 Enrollment ID: I20210208002426 |
| Provider Name | Jennifer T Aponte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295313468 PECOS PAC ID: 2769890268 Enrollment ID: I20210422000763 |
| Provider Name | Ruth A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609270123 PECOS PAC ID: 2668796475 Enrollment ID: I20210423001181 |
| Provider Name | Stephanie Susanne Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346282696 PECOS PAC ID: 8224209580 Enrollment ID: I20210428000911 |
| Provider Name | Brandi R Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588231906 PECOS PAC ID: 4587064472 Enrollment ID: I20210615000834 |
| Provider Name | Jessica W Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609022029 PECOS PAC ID: 4183858764 Enrollment ID: I20210617000705 |
| Provider Name | Samantha Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861063794 PECOS PAC ID: 2668860677 Enrollment ID: I20211027001719 |
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