| Bitars Specialty Clinic, Llc | |
|
7015 Highway 190 East Service Rd Ste 200 Covington LA 70433-4960 | |
| (985) 643-0075 | |
| (985) 646-0430 |
| Full Name | Bitars Specialty Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7015 Highway 190 East Service Rd Ste 200, Covington, Louisiana |
| Authorized Official Name and Position | Camille Nasim Bitar (OWNER/MD) |
| Authorized Official Contact | 9857749113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bitars Specialty Clinic, Llc Po Box 608 Slidell LA 70459-0608 Ph: (985) 643-0075 | Bitars Specialty Clinic, Llc 7015 Highway 190 East Service Rd Ste 200 Covington LA 70433-4960 Ph: (985) 643-0075 |
| NPI Number | 1528398617 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 4688702160 |
|---|---|
| Medicare Enrollment ID | O20100504000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528398617 | NPI | - | NPPES |
| 1822523 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 09189R (Louisiana) | Primary |
| Provider Name | Kamil Nasim Bitar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346231834 PECOS PAC ID: 6709874191 Enrollment ID: I20040504001176 |
| Provider Name | Mikshira Marie Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160606 PECOS PAC ID: 4385981158 Enrollment ID: I20190201000400 |
| Provider Name | Wendy E Mccrimon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699408997 PECOS PAC ID: 3375928120 Enrollment ID: I20220915001568 |
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