A-1 Internal Medicine Llc | |
533 Carroll St Mandeville LA 70448-5108 | |
(985) 373-0058 | |
Not Available |
Full Name | A-1 Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 533 Carroll St, Mandeville, Louisiana |
Authorized Official Name and Position | Andrew Michael Baier (MANAGER) |
Authorized Official Contact | 9853730058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A-1 Internal Medicine Llc 533 Carroll St Mandeville LA 70448-5108 Ph: (985) 373-0058 | A-1 Internal Medicine Llc 533 Carroll St Mandeville LA 70448-5108 Ph: (985) 373-0058 |
NPI Number | 1265845069 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 10/16/2014 |
Medicare PECOS PAC ID | 1850513862 |
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Medicare Enrollment ID | O20141106001692 |
Identifier | Type | State | Issuer |
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1265845069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD204287 (Louisiana) | Primary |
Provider Name | Andrew M Baier |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598906562 PECOS PAC ID: 8325297039 Enrollment ID: I20121012000084 |
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