Telehealth Services Of Louisiana, Llc | |
200 Corporate Blvd Lafayette LA 70508-3870 | |
(800) 893-9698 | |
(337) 262-7246 |
Full Name | Telehealth Services Of Louisiana, Llc |
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Speciality | Internal Medicine |
Location | 200 Corporate Blvd, Lafayette, Louisiana |
Authorized Official Name and Position | Lisha Falk (VP OF CONTRACTING) |
Authorized Official Contact | 3376091221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Telehealth Services Of Louisiana, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Telehealth Services Of Louisiana, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 |
NPI Number | 1972037455 |
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Provider Enumeration Date | 04/12/2017 |
Last Update Date | 03/23/2022 |
Medicare PECOS PAC ID | 9436436185 |
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Medicare Enrollment ID | O20170505000122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972037455 | NPI | - | NPPES |
Provider Name | Mohit Srivastava |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619945656 PECOS PAC ID: 7012980436 Enrollment ID: I20040814000106 |
Provider Name | Kenneth Scott Parks |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952349078 PECOS PAC ID: 4385698414 Enrollment ID: I20050310000786 |
Provider Name | Blaine E Lavergne |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184657496 PECOS PAC ID: 0547201188 Enrollment ID: I20050513000468 |
Provider Name | Nina K Hall |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1689665275 PECOS PAC ID: 6305861592 Enrollment ID: I20051006000708 |
Provider Name | Amir Habibollah Ausef |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20060118000605 |
Provider Name | Julio Castro Quero |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972695724 PECOS PAC ID: 7517859788 Enrollment ID: I20070216000326 |
Provider Name | James Emanuel Lanasa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497796536 PECOS PAC ID: 0244326957 Enrollment ID: I20071010000826 |
Provider Name | Eric Andrew Gustafson |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023233400 PECOS PAC ID: 6002917572 Enrollment ID: I20090205000250 |
Provider Name | Christopher J Matt |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548450992 PECOS PAC ID: 7618029893 Enrollment ID: I20090720000080 |
Provider Name | Stephanie M Cook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578796025 PECOS PAC ID: 4688720956 Enrollment ID: I20090929000219 |
Provider Name | Glenn R Figueroa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437149408 PECOS PAC ID: 1052338571 Enrollment ID: I20100929001018 |
Provider Name | Khara Alecia Jefferson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225300429 PECOS PAC ID: 5597923631 Enrollment ID: I20120221000878 |
Provider Name | Ashwin Pannathpur Jaikishen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437449923 PECOS PAC ID: 6305087685 Enrollment ID: I20141202000289 |
Provider Name | Matthew Mcclanahan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609175579 PECOS PAC ID: 2062653389 Enrollment ID: I20150730013475 |
Provider Name | Troy William Antill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043585300 PECOS PAC ID: 4385867209 Enrollment ID: I20150916002648 |
Provider Name | Tiffany Lynn Simon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730561671 PECOS PAC ID: 9335449461 Enrollment ID: I20151123000393 |
Provider Name | Jessie S Iles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619337367 PECOS PAC ID: 6507155033 Enrollment ID: I20160614001151 |
Provider Name | Mariam Majd |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1134461262 PECOS PAC ID: 4688968100 Enrollment ID: I20160805001935 |
Provider Name | Leslie G Dupuis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760902407 PECOS PAC ID: 8921379074 Enrollment ID: I20170808000908 |
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