| Coullion Care Partners Pllc | |
|
526 Valmont St New Orleans LA 70115-1943 | |
| (970) 376-2129 | |
| Not Available |
| Full Name | Coullion Care Partners Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 526 Valmont St, New Orleans, Louisiana |
| Authorized Official Name and Position | Jay St. John (OWNER) |
| Authorized Official Contact | 9703762129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coullion Care Partners Pllc 526 Valmont St New Orleans LA 70115-1943 Ph: (970) 376-2129 | Coullion Care Partners Pllc 526 Valmont St New Orleans LA 70115-1943 Ph: (970) 376-2129 |
| NPI Number | 1932663754 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 6709124845 |
|---|---|
| Medicare Enrollment ID | O20190214001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932663754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa D Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699883603 PECOS PAC ID: 4082706916 Enrollment ID: I20070823000669 |
| Provider Name | Lisa Plauche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460845 PECOS PAC ID: 9931397817 Enrollment ID: I20101220000057 |
| Provider Name | Jay St. John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578820619 PECOS PAC ID: 9032349956 Enrollment ID: I20170726000576 |
| Provider Name | Melanie A Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821344904 PECOS PAC ID: 2668781006 Enrollment ID: I20170817003126 |
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