| Grace Health Clinic | |
|
1415 Corporate Square Dr Ste A Slidell LA 70458-3151 | |
| (985) 259-4854 | |
| (855) 807-4750 |
| Full Name | Grace Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1415 Corporate Square Dr Ste A, Slidell, Louisiana |
| Authorized Official Name and Position | Bianca D Jackson (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9852594854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Health Clinic 1415 Corporate Square Dr Ste A Slidell LA 70458-3151 Ph: (985) 259-4854 | Grace Health Clinic 1415 Corporate Square Dr Ste A Slidell LA 70458-3151 Ph: (985) 259-4854 |
| NPI Number | 1295290963 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 2668708272 |
|---|---|
| Medicare Enrollment ID | O20190719000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295290963 | NPI | - | NPPES |
| 05427361 | Medicaid | MS | |
| 2427806 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Darrin J Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407296775 PECOS PAC ID: 9931423829 Enrollment ID: I20160909000819 |
| Provider Name | Aspen J Hardges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649715004 PECOS PAC ID: 4880976638 Enrollment ID: I20190815000758 |
| Provider Name | Damita Veleka Carter-holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538703202 PECOS PAC ID: 8224468400 Enrollment ID: I20200501000744 |
| Provider Name | Nichole Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548900814 PECOS PAC ID: 3274908652 Enrollment ID: I20230418000210 |
Aleta N. De Clouet, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 659 Brownswitch Road, Slidell, LA 70458 Phone: 985-781-7577 Fax: 985-781-7579 | |
Northlake Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Gause Blvd Ste 2, Slidell, LA 70458 Phone: 985-641-6454 Fax: 985-641-6458 | |
M A Culasso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Gause Blvd, Slidell, LA 70458 Phone: 985-649-0945 Fax: 985-643-8510 | |
Pedro A Serrant Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Suite 103, Slidell, LA 70461 Phone: 985-646-4464 Fax: 985-646-4475 | |
Crescent Urgent & Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3769 Pontchartrain Dr Ste 1, Slidell, LA 70458 Phone: 504-544-9698 Fax: 985-288-4181 | |
Linda C Mcelveen Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Ste 103, Slidell, LA 70461 Phone: 985-781-8565 | |
Clinton H. Sharp, Iii, M.d Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1051 Gause Blvd, Suite 380, Slidell, LA 70458 Phone: 985-641-8191 Fax: 985-641-9812 |