| Westbank Medical & Walk-in Clinic | |
|
6621 Westbank Expy Marrero LA 70072-2669 | |
| (504) 495-3572 | |
| Not Available |
| Full Name | Westbank Medical & Walk-in Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6621 Westbank Expy, Marrero, Louisiana |
| Authorized Official Name and Position | Andre Tilton (PARTNER/ OWNER) |
| Authorized Official Contact | 5044953572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westbank Medical & Walk-in Clinic 6621 Westbank Expy Marrero LA 70072-2669 Ph: () - | Westbank Medical & Walk-in Clinic 6621 Westbank Expy Marrero LA 70072-2669 Ph: (504) 495-3572 |
| NPI Number | 1922437441 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/14/2013 |
| Medicare PECOS PAC ID | 6901036243 |
|---|---|
| Medicare Enrollment ID | O20140305001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922437441 | NPI | - | NPPES |
| 2111906 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Andre D Tilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306165097 PECOS PAC ID: 7810130390 Enrollment ID: I20130903000029 |
| Provider Name | Vu M Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497086755 PECOS PAC ID: 1951545326 Enrollment ID: I20130925000361 |
| Provider Name | Jason R Deleon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497073787 PECOS PAC ID: 0143527861 Enrollment ID: I20190129000814 |
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