| Medxcel Occupational Medicine | |
|
4401 Chemin Metaire Pkwy Youngsville LA 70592-6684 | |
| (337) 893-0788 | |
| (337) 893-0787 |
| Full Name | Medxcel Occupational Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4401 Chemin Metaire Pkwy, Youngsville, Louisiana |
| Authorized Official Name and Position | Scott Desormeaux (OWNER) |
| Authorized Official Contact | 3372777464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medxcel Occupational Medicine 4401 Chemin Metaire Pkwy Youngsville LA 70592-6684 Ph: (337) 856-7500 | Medxcel Occupational Medicine 4401 Chemin Metaire Pkwy Youngsville LA 70592-6684 Ph: (337) 893-0788 |
| NPI Number | 1033257423 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 2567508872 |
|---|---|
| Medicare Enrollment ID | O20090930000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033257423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan A Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942391446 PECOS PAC ID: 2163489311 Enrollment ID: I20041220000394 |
| Provider Name | Weston Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215124425 PECOS PAC ID: 2365493533 Enrollment ID: I20100317001048 |
| Provider Name | Chet D Stelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881926228 PECOS PAC ID: 0042346777 Enrollment ID: I20100603000549 |
| Provider Name | John P Dies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477971083 PECOS PAC ID: 2961620216 Enrollment ID: I20140827002426 |
| Provider Name | Lena N Handy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528596368 PECOS PAC ID: 6800167214 Enrollment ID: I20170803001412 |
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