| Minsky And Carver Medical Center For Personal Wellness | |
|
8585 Picardy Ave Suite 513 Baton Rouge LA 70809-3679 | |
| (225) 819-1198 | |
| (225) 819-1189 |
| Full Name | Minsky And Carver Medical Center For Personal Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 8585 Picardy Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall Johnson (C.F.O.) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minsky And Carver Medical Center For Personal Wellness 8490 Picardy Ave Bldg 200 Baton Rouge LA 70809-3731 Ph: (225) 237-1754 | Minsky And Carver Medical Center For Personal Wellness 8585 Picardy Ave Suite 513 Baton Rouge LA 70809-3679 Ph: (225) 819-1198 |
| NPI Number | 1669760948 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 7810161684 |
|---|---|
| Medicare Enrollment ID | O20111114000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669760948 | NPI | - | NPPES |
| 5DV54 | Other | LA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Louis R Minsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760488332 PECOS PAC ID: 1850491580 Enrollment ID: I20100907000228 |
| Provider Name | David R Carver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235135948 PECOS PAC ID: 5193825826 Enrollment ID: I20110103000492 |
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