| Om Medical Llc | |
|
706 W 15th Ave Covington LA 70433-2416 | |
| (985) 338-2596 | |
| Not Available |
| Full Name | Om Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 706 W 15th Ave, Covington, Louisiana |
| Authorized Official Name and Position | Olivia Mcdonald (NP/OWNER) |
| Authorized Official Contact | 3188843840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Medical Llc 706 W 15th Ave Covington LA 70433-2416 Ph: () - | Om Medical Llc 706 W 15th Ave Covington LA 70433-2416 Ph: (985) 338-2596 |
| NPI Number | 1316652837 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 6204298508 |
|---|---|
| Medicare Enrollment ID | O20230818000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Olivia Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023649746 PECOS PAC ID: 2062874225 Enrollment ID: I20230821000607 |
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