| Louisiana Telehealth Solutions, Llc | |
|
200 Corporate Blvd Lafayette LA 70508-3870 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Louisiana Telehealth Solutions, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Corporate Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Lisha C Falk (VP OF CONTRACTING) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Telehealth Solutions, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Louisiana Telehealth Solutions, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 |
| NPI Number | 1093469645 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 6103203187 |
|---|---|
| Medicare Enrollment ID | O20220512001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093469645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David M Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225030588 PECOS PAC ID: 5597708339 Enrollment ID: I20050602001094 |
| Provider Name | Yamen Korab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073712022 PECOS PAC ID: 8921194424 Enrollment ID: I20071015000154 |
| Provider Name | Beverly Gladney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326050139 PECOS PAC ID: 5890866685 Enrollment ID: I20080623000317 |
| Provider Name | Anthony K Adeosun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568570653 PECOS PAC ID: 1850382516 Enrollment ID: I20081015000307 |
| Provider Name | Stephen R Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955899 PECOS PAC ID: 7416933379 Enrollment ID: I20220428002627 |
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