| New Orleans East Wellness Center, Llc | |
|
5640 Read Blvd Ste 550 New Orleans LA 70127-3140 | |
| (504) 592-6854 | |
| (504) 592-6845 |
| Full Name | New Orleans East Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5640 Read Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Ronald Mclendon (MANAGER) |
| Authorized Official Contact | 5043633334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Orleans East Wellness Center, Llc 1500 Lafayette St Suite 141 Gretna LA 70053-5732 Ph: (504) 363-3334 | New Orleans East Wellness Center, Llc 5640 Read Blvd Ste 550 New Orleans LA 70127-3140 Ph: (504) 592-6854 |
| NPI Number | 1467850743 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 09/24/2021 |
| Medicare PECOS PAC ID | 3870811920 |
|---|---|
| Medicare Enrollment ID | O20150421002058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467850743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | David S Texada |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932103918 PECOS PAC ID: 4981500162 Enrollment ID: I20031209000571 |
| Provider Name | Ronald C Mclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013151091 PECOS PAC ID: 9537341987 Enrollment ID: I20110307001005 |
| Provider Name | Gregory Lamont Lacy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073564829 PECOS PAC ID: 4082856489 Enrollment ID: I20130814000957 |
| Provider Name | Eric Edward Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013070424 PECOS PAC ID: 8325000854 Enrollment ID: I20140211000466 |
| Provider Name | Brooke Q Naranjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109280 PECOS PAC ID: 3870890650 Enrollment ID: I20160322000891 |
| Provider Name | Ashley P Doucette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437392404 PECOS PAC ID: 4880991678 Enrollment ID: I20160322001299 |
| Provider Name | Dana Brown-acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044331 PECOS PAC ID: 5698030070 Enrollment ID: I20180606001036 |
| Provider Name | Nichole Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548900814 PECOS PAC ID: 3274908652 Enrollment ID: I20230418000210 |
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