| Heartlung Rehab, Llc | |
|
939 S Jeff Davis Pkwy New Orleans LA 70125-1216 | |
| (504) 861-9981 | |
| Not Available |
| Full Name | Heartlung Rehab, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 939 S Jeff Davis Pkwy, New Orleans, Louisiana |
| Authorized Official Name and Position | Bret Berry (SOLE MBR) |
| Authorized Official Contact | 5048619981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartlung Rehab, Llc 138 Lafayette St Mandeville LA 70448-5620 Ph: () - | Heartlung Rehab, Llc 939 S Jeff Davis Pkwy New Orleans LA 70125-1216 Ph: (504) 861-9981 |
| NPI Number | 1366930877 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 1254686819 |
|---|---|
| Medicare Enrollment ID | O20180622000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Colon-ortiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982794640 PECOS PAC ID: 4587648258 Enrollment ID: I20040618000053 |
| Provider Name | Frank W Smart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275571341 PECOS PAC ID: 5991603987 Enrollment ID: I20110816000199 |
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