Tyesha Taylor, | |
9001 Summa Ave, Baton Rouge, LA 70809-3726 | |
(225) 761-5410 | |
Not Available |
Full Name | Tyesha Taylor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 9001 Summa Ave, Baton Rouge, 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 |
---|---|---|---|
1053800599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP09770 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
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 |
Entity Name | Belle Chasse Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 |
Entity Name | Mayfair Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831688365 PECOS PAC ID: 7618225814 Enrollment ID: O20180803002194 |
Mailing Address | Practice Location Address |
---|---|
Tyesha Taylor, 17050 Medical Center Dr, Baton Rouge, LA 70816-3221 Ph: (252) 761-5400 | Tyesha Taylor, 9001 Summa Ave, Baton Rouge, LA 70809-3726 Ph: (225) 761-5410 |
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