Dr John Francis Fidanza Iii, PSYD | |
6351 Main St, Zachary, LA 70791-4038 | |
(225) 306-2000 | |
(225) 658-1282 |
Full Name | Dr John Francis Fidanza Iii |
---|---|
Gender | Male |
Speciality | Psychologist - Prescribing (medical) |
Location | 6351 Main St, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902801392 | NPI | - | NPPES |
2125958 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | 1040MP (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Hiv-aids Alliance For Region Two |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437527900 PECOS PAC ID: 4880981158 Enrollment ID: O20181101000702 |
Mailing Address | Practice Location Address |
---|---|
Dr John Francis Fidanza Iii, PSYD Po Box 770, Zachary, LA 70791-0770 Ph: (225) 306-2000 | Dr John Francis Fidanza Iii, PSYD 6351 Main St, Zachary, LA 70791-4038 Ph: (225) 306-2000 |
Dr. Joseph Calvin Bolton Iii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4863a Main St, Zachary, LA 70791 Phone: 225-654-2357 Fax: 225-654-1192 | |
Dr. Keith Westerfield, PHD, MP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6351 Main St, Zachary, LA 70791 Phone: 225-306-2055 | |
Mary Williams, INDEPENDENT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5635 Main St Ste A, Zachary, LA 70791 Phone: 225-489-9248 | |
Dr. John P, Whelton Jr, PHD,MP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1237 Buffalo Hollow Ct, Zachary, LA 70791 Phone: 225-654-5060 |