White Coat Medical Group Llc | |
736 Gause Blvd Slidell LA 70458-2840 | |
(985) 788-2221 | |
Not Available |
Full Name | White Coat Medical Group Llc |
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Speciality | Internal Medicine |
Location | 736 Gause Blvd, Slidell, Louisiana |
Authorized Official Name and Position | Ryan White (OWNER) |
Authorized Official Contact | 9857882221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Coat Medical Group Llc 508 Hermitage Ct Pearl River LA 70452-3902 Ph: () - | White Coat Medical Group Llc 736 Gause Blvd Slidell LA 70458-2840 Ph: (985) 788-2221 |
NPI Number | 1083479265 |
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Provider Enumeration Date | 02/16/2024 |
Last Update Date | 11/25/2024 |
Medicare PECOS PAC ID | 3779024468 |
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Medicare Enrollment ID | O20240921000286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083479265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ryan C White |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063754596 PECOS PAC ID: 5991019507 Enrollment ID: I20150727001593 |
Aleta N. De Clouet, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 659 Brownswitch Road, Slidell, LA 70458 Phone: 985-781-7577 Fax: 985-781-7579 | |
Northlake Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Gause Blvd Ste 2, Slidell, LA 70458 Phone: 985-641-6454 Fax: 985-641-6458 | |
M A Culasso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Gause Blvd, Slidell, LA 70458 Phone: 985-649-0945 Fax: 985-643-8510 | |
Pedro A Serrant Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Suite 103, Slidell, LA 70461 Phone: 985-646-4464 Fax: 985-646-4475 | |
Linda C Mcelveen Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Ste 103, Slidell, LA 70461 Phone: 985-781-8565 |