| Mylaurel Medical Group La, Llc | |
|
1320 Magazine St Ste 203 New Orleans LA 70130-4267 | |
| (504) 475-1283 | |
| Not Available |
| Full Name | Mylaurel Medical Group La, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1320 Magazine St Ste 203, New Orleans, Louisiana |
| Authorized Official Name and Position | Leslie Baldridge (CREDENTIALING) |
| Authorized Official Contact | 7024176255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylaurel Medical Group La, Llc 885 3rd Ave Fl 29 New York NY 10022-4834 Ph: (702) 417-6255 | Mylaurel Medical Group La, Llc 1320 Magazine St Ste 203 New Orleans LA 70130-4267 Ph: (504) 475-1283 |
| NPI Number | 1306341060 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8123365467 |
|---|---|
| Medicare Enrollment ID | O20190124003081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306341060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kawander L Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154634111 PECOS PAC ID: 0840426417 Enrollment ID: I20131204001255 |
| Provider Name | Nse Obung Inyang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274332 PECOS PAC ID: 4486089752 Enrollment ID: I20201123001882 |
| Provider Name | Marcy Gleit Carty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326038928 PECOS PAC ID: 6103844725 Enrollment ID: I20220803002216 |
| Provider Name | Whitney R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20230130000037 |
| Provider Name | Benjamin Craxton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063941433 PECOS PAC ID: 4284065426 Enrollment ID: I20231222000782 |
| Provider Name | Gina Grace Puglisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366472011 PECOS PAC ID: 3375574312 Enrollment ID: I20240106000714 |
| Provider Name | Christopher Touzeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548706443 PECOS PAC ID: 4981948445 Enrollment ID: I20240122001658 |
| Provider Name | Turandot Saul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578614434 PECOS PAC ID: 7911099684 Enrollment ID: I20240202000296 |
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