Act One Health, Llc | |
7122 Government St Baton Rouge LA 70806-6336 | |
(225) 281-7333 | |
Not Available |
Full Name | Act One Health, Llc |
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Speciality | Family Medicine |
Location | 7122 Government St, Baton Rouge, Louisiana |
Authorized Official Name and Position | Louis Gustave Bonin (CEO) |
Authorized Official Contact | 2252817333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Act One Health, Llc 7122 Government St Baton Rouge LA 70806-6336 Ph: (225) 281-7333 | Act One Health, Llc 7122 Government St Baton Rouge LA 70806-6336 Ph: (225) 281-7333 |
NPI Number | 1609543701 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 08/26/2021 |
Medicare PECOS PAC ID | 9436556974 |
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Medicare Enrollment ID | O20210924002676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609543701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Fred S Willis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235131665 PECOS PAC ID: 8022068832 Enrollment ID: I20050129000111 |
Provider Name | Heather Cecchini |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679887673 PECOS PAC ID: 4880879402 Enrollment ID: I20110426000378 |
Provider Name | Leslie E Prestenbach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962811208 PECOS PAC ID: 8325360266 Enrollment ID: I20141204001272 |
Provider Name | Tonya C Fowler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952763880 PECOS PAC ID: 2860765559 Enrollment ID: I20170831000431 |
Provider Name | Aimee T Castellon Maestri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437670783 PECOS PAC ID: 3577837293 Enrollment ID: I20170919003684 |
Provider Name | Carly S Sehon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245751544 PECOS PAC ID: 8628342235 Enrollment ID: I20170920003430 |
Provider Name | Robert Quinn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225404007 PECOS PAC ID: 7214244458 Enrollment ID: I20171013001001 |
Provider Name | Megan Weidemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962013581 PECOS PAC ID: 1355753146 Enrollment ID: I20201221000949 |
Provider Name | Lindsey Duffy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295211134 PECOS PAC ID: 4688927353 Enrollment ID: I20230524000242 |
Provider Name | Brad M Fabre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730879651 PECOS PAC ID: 2860855533 Enrollment ID: I20230828004146 |
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