Michael Shane Melancon Jr, | |
4920 Church Street, Suite E, Zachary, LA 70791 | |
(225) 570-2443 | |
Not Available |
Full Name | Michael Shane Melancon Jr |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 4920 Church Street, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467210492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 340669 (Louisiana) | Primary |
Provider Name | Baton Rouge Orthopaedic Clnic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770503690 PECOS PAC ID: 3274446414 Enrollment ID: O20031112000509 |
Mailing Address | Practice Location Address |
---|---|
Michael Shane Melancon Jr, 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 Ph: (225) 408-7995 | Michael Shane Melancon Jr, 4920 Church Street, Suite E, Zachary, LA 70791 Ph: (225) 570-2443 |
Amy B Dixon, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite G, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Sydney Ray Whittingslow, MS/OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 | |
Cynthia B Smith, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3755 Church St, Zachary, LA 70791 Phone: 225-658-4969 | |
Amandalin Hopkins Whittington, LOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4555 Bert St, Zachary, LA 70791 Phone: 225-931-2739 | |
Kyra Lee Moss, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2335 Church St, Ste G, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Mary K Deranger, PT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2335 Church St Ste G, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Rivet Hand Rehabilitation Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5568 Main St, Suite A, Zachary, LA 70791 Phone: 225-654-4330 Fax: 225-286-4330 |