| Bethesda Urgent Care | |
|
1620 Belle Chasse Hwy Suite 101 Gretna LA 70056 | |
| (504) 265-8304 | |
| (504) 309-4193 |
| Full Name | Bethesda Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1620 Belle Chasse Hwy Suite 101, Gretna, Louisiana |
| Authorized Official Name and Position | Shibu Varughese (MEMBER MANAGER) |
| Authorized Official Contact | 5042658304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Urgent Care 1620 Belle Chasse Hwy Suite 101 Gretna LA 70056 Ph: (504) 265-8304 | Bethesda Urgent Care 1620 Belle Chasse Hwy Suite 101 Gretna LA 70056 Ph: (504) 265-8304 |
| NPI Number | 1205459732 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 02/13/2023 |
| Medicare PECOS PAC ID | 7113399254 |
|---|---|
| Medicare Enrollment ID | O20230217001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205459732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Amy Varughese |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538492517 PECOS PAC ID: 3870634793 Enrollment ID: I20100820000474 |
| Provider Name | Shibu Varughese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346475506 PECOS PAC ID: 2062553985 Enrollment ID: I20120412000708 |
| Provider Name | Ashik S Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780094482 PECOS PAC ID: 8921396706 Enrollment ID: I20170717000778 |
| Provider Name | Travis L Simpson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346582129 PECOS PAC ID: 2567703119 Enrollment ID: I20190408002033 |
| Provider Name | Kyle R Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760181093 PECOS PAC ID: 5092177600 Enrollment ID: I20230815000158 |
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