Mckenna General Medical, Llc | |
1827 Gentilly Blvd New Orleans LA 70119-2051 | |
(504) 943-1923 | |
(504) 943-1933 |
Full Name | Mckenna General Medical, Llc |
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Speciality | General Practice |
Location | 1827 Gentilly Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Dwight Lawrence Mckenna (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 5049431923 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mckenna General Medical, Llc 1827 Gentilly Blvd New Orleans LA 70119-2051 Ph: (504) 943-1923 | Mckenna General Medical, Llc 1827 Gentilly Blvd New Orleans LA 70119-2051 Ph: (504) 943-1923 |
NPI Number | 1164683645 |
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Provider Enumeration Date | 06/18/2008 |
Last Update Date | 08/12/2011 |
Medicare PECOS PAC ID | 0749455434 |
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Medicare Enrollment ID | O20111207000752 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164683645 | NPI | - | NPPES |
1129267 | Medicaid | LA | |
UP4206 | Other | LA | UNITED HEALTHCARE |
F4229 | Other | LA | BLUE CROSS/BLUE SHIELD |
436664206B | Other | LA | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Dwight L Mckenna |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316056419 PECOS PAC ID: 2860497963 Enrollment ID: I20060925000114 |
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