Orleans Primary Care | |
401 Veterans Blvd Ste 203 Metairie LA 70005-2957 | |
(504) 837-5200 | |
(504) 837-5260 |
Full Name | Orleans Primary Care |
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Speciality | Clinic/Center |
Location | 401 Veterans Blvd Ste 203, Metairie, Louisiana |
Authorized Official Name and Position | Erica Brown Jackson (OWNER) |
Authorized Official Contact | 5047175454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Orleans Primary Care 401 Veterans Blvd Ste 203 Metairie LA 70005-2957 Ph: (504) 837-5200 | Orleans Primary Care 401 Veterans Blvd Ste 203 Metairie LA 70005-2957 Ph: (504) 837-5200 |
NPI Number | 1831558428 |
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Provider Enumeration Date | 02/11/2016 |
Last Update Date | 08/16/2024 |
Medicare PECOS PAC ID | 9436457637 |
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Medicare Enrollment ID | O20160420001586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831558428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD.200224 (Louisiana) | Primary |
Provider Name | Erica M Brown-jackson |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1417048653 PECOS PAC ID: 9234239229 Enrollment ID: I20070703000730 |
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