| Community Medical Group- St Bernard Inc | |
|
8050 W Judge Perez Dr Suite 2300 Chalmette LA 70043-1734 | |
| (504) 826-9655 | |
| (504) 826-9656 |
| Full Name | Community Medical Group- St Bernard Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8050 W Judge Perez Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | John W Mcdaniel (MANAGING DIRECTOR) |
| Authorized Official Contact | 5045222014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group- St Bernard Inc Po Box 789 Ocean Springs MS 39566-0789 Ph: (228) 818-0563 | Community Medical Group- St Bernard Inc 8050 W Judge Perez Dr Suite 2300 Chalmette LA 70043-1734 Ph: (504) 826-9655 |
| NPI Number | 1205264868 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 09/02/2015 |
| Medicare PECOS PAC ID | 7315177201 |
|---|---|
| Medicare Enrollment ID | O20140219001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205264868 | NPI | - | NPPES |
| 331631 | Other | LA | MEDICARE PTAN |
| Provider Name | Deepak Shankar Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629057856 PECOS PAC ID: 8820074677 Enrollment ID: I20040624000886 |
| Provider Name | Dennis M Dale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780685453 PECOS PAC ID: 5597734210 Enrollment ID: I20041026000285 |
| Provider Name | Thomas L Ewing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730188533 PECOS PAC ID: 0042240087 Enrollment ID: I20050818000748 |
| Provider Name | John P Hamide |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255353033 PECOS PAC ID: 0446283576 Enrollment ID: I20050919000023 |
| Provider Name | Jose A Silva |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790765394 PECOS PAC ID: 1052333564 Enrollment ID: I20051228000030 |
| Provider Name | Richard M Vanlangendonck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649203654 PECOS PAC ID: 6002839875 Enrollment ID: I20060106000581 |
| Provider Name | Paul R Verrette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487760989 PECOS PAC ID: 5395749600 Enrollment ID: I20060829000207 |
| Provider Name | Paula S Licciardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033305925 PECOS PAC ID: 8325118052 Enrollment ID: I20080606000014 |
| Provider Name | Ronald S Swartz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124126594 PECOS PAC ID: 6002947066 Enrollment ID: I20100720000307 |
| Provider Name | Shigeki Saito |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740460955 PECOS PAC ID: 3476709528 Enrollment ID: I20120806000899 |
| Provider Name | Shelita S Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932541885 PECOS PAC ID: 3577792340 Enrollment ID: I20140128000935 |
| Provider Name | Catherine C Wentowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538465984 PECOS PAC ID: 4688897259 Enrollment ID: I20140529000962 |
| Provider Name | Ross M Hogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255591285 PECOS PAC ID: 8325272156 Enrollment ID: I20141021000220 |
| Provider Name | Anthony Joseph Marsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306111760 PECOS PAC ID: 7517273980 Enrollment ID: I20150831001385 |
| Provider Name | Karin Marie Halvorson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326201625 PECOS PAC ID: 1557589595 Enrollment ID: I20150903000039 |
Kind Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 E Judge Perez Dr Ste E, Chalmette, LA 70043 Phone: 504-354-9545 Fax: 504-354-8108 | |
Chalmette Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9061 W Judge Perez Dr, Chalmette, LA 70043 Phone: 504-662-1435 Fax: 504-662-1436 | |
Methodist Health System Foundation, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 E Judge Perez Dr, Chalmette, LA 70043 Phone: 504-333-6988 Fax: 504-342-2184 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 W Saint Bernard Hwy, Chalmette, LA 70043 Phone: 833-784-2669 Fax: 844-784-2329 | |
We Care & Carr Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8321 Lafitte Ct Ste A, Chalmette, LA 70043 Phone: 347-986-8388 | |
St Bernard Community Health Center Gnochc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8050 W Judge Perez Dr, Chalmette, LA 70043 Phone: 504-281-2800 Fax: 504-575-3691 | |
St Bernard Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8050 W Judge Perez Dr, Suite 1300, Chalmette, LA 70043 Phone: 504-281-2800 Fax: 504-575-3691 |