| Kenner Physician Associates, Llc | |
|
200 W Esplanade Ave Suite 106 Kenner LA 70065-2489 | |
| (504) 712-7000 | |
| (504) 712-7040 |
| Full Name | Kenner Physician Associates, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 200 W Esplanade Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Scott Brandon Simeon (MEMBER) |
| Authorized Official Contact | 5047127000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenner Physician Associates, Llc 200 W Esplanade Ave Suite 106 Kenner LA 70065-2489 Ph: (504) 712-7000 | Kenner Physician Associates, Llc 200 W Esplanade Ave Suite 106 Kenner LA 70065-2489 Ph: (504) 712-7000 |
| NPI Number | 1295887149 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739164757 |
|---|---|
| Medicare Enrollment ID | O20040623000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295887149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023871 (Louisiana) | Primary |
| 208000000X | Pediatrics | 023871 (Louisiana) | Primary |
| Provider Name | Scott Simeon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093784696 PECOS PAC ID: 2365427382 Enrollment ID: I20040714000500 |
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Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 W Esplanade Ave, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 | |
Bonnabel Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Bruin Drive, Kenner, LA 70065 Phone: 504-303-6676 Fax: 504-303-6680 | |
Health Guard Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Williams Blvd, Suite K, Kenner, LA 70062 Phone: 504-466-9386 Fax: 504-466-9312 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 W Esplanade Ave Ste B, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 | |
Daughters Of Charity Services Of New Orleans Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3321 Florida Ave, Suite A, Kenner, LA 70065 Phone: 504-468-4437 Fax: 504-471-4782 |