| Tillery Family Practice Clinic | |
|
4001 Gen Degaulle Dr Suite H New Orleans LA 70114-8220 | |
| (504) 365-9906 | |
| (504) 365-9902 |
| Full Name | Tillery Family Practice Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4001 Gen Degaulle Dr, New Orleans, Louisiana |
| Authorized Official Name and Position | Bertrand Tillery (PHYSICIAN) |
| Authorized Official Contact | 5043659906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tillery Family Practice Clinic 4001 Gen Degaulle Dr Suite H New Orleans LA 70114-8220 Ph: (504) 365-9906 | Tillery Family Practice Clinic 4001 Gen Degaulle Dr Suite H New Orleans LA 70114-8220 Ph: (504) 365-9906 |
| NPI Number | 1194870782 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 12/22/2016 |
| Medicare PECOS PAC ID | 9537217781 |
|---|---|
| Medicare Enrollment ID | O20090428000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194870782 | NPI | - | NPPES |
| 1576794 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 025561 (Louisiana) | Primary |
| Provider Name | Bertrand Tillery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700852241 PECOS PAC ID: 0446233969 Enrollment ID: I20040608000006 |
St. Thomas Community Health Center Erwin Bldg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1936 Magazine St, New Orleans, LA 70130 Phone: 504-529-5558 Fax: 504-595-5020 | |
Ochsner Health Center - Napoleon At Magnolia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2633 Napoleon Ave, New Orleans, LA 70115 Phone: 504-842-7444 | |
Baptist Community Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 Fats Domino Ave, New Orleans, LA 70117 Phone: 504-533-4999 | |
Ochsner Urgent Care - French Quarter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Decatur St, New Orleans, LA 70130 Phone: 504-609-3833 | |
Depaul Community Health Centers-harriet Tubman Charter School-2nd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2013 General Meyer Ave, New Orleans, LA 70114 Phone: 504-207-3060 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Poydras St Ste 107, New Orleans, LA 70139 Phone: 504-703-1355 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Hayne Blvd, New Orleans, LA 70128 Phone: 504-267-3882 |