| Professional Hospitalist Of Louisiana, Inc. | |
|
8050 W Judge Perez Dr Ste 2300 Chalmette LA 70043-1738 | |
| (504) 826-9655 | |
| Not Available |
| Full Name | Professional Hospitalist Of Louisiana, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8050 W Judge Perez Dr Ste 2300, Chalmette, Louisiana |
| Authorized Official Name and Position | Paul Verrette (MD/OWNER) |
| Authorized Official Contact | 5048269655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Hospitalist Of Louisiana, Inc. Po Box 1536 Mandeville LA 70470-1536 Ph: (504) 826-9655 | Professional Hospitalist Of Louisiana, Inc. 8050 W Judge Perez Dr Ste 2300 Chalmette LA 70043-1738 Ph: (504) 826-9655 |
| NPI Number | 1821460254 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 11/27/2019 |
| Medicare PECOS PAC ID | 5092091918 |
|---|---|
| Medicare Enrollment ID | O20170407000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821460254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Paul R Verrette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487760989 PECOS PAC ID: 5395749600 Enrollment ID: I20060829000207 |
| Provider Name | Shelita S Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932541885 PECOS PAC ID: 3577792340 Enrollment ID: I20140128000935 |
| Provider Name | Shemika Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285185462 PECOS PAC ID: 6406113182 Enrollment ID: I20171205002520 |
| Provider Name | Cabrina R Ridley-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588279871 PECOS PAC ID: 7618376591 Enrollment ID: I20210526000209 |
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