Heather Ellingson, PSYD | |
723 E Highway 30, Gonzales, LA 70737-4715 | |
(225) 743-2202 | |
(225) 743-2028 |
Full Name | Heather Ellingson |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 6 Years |
Location | 723 E Highway 30, Gonzales, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679159768 | NPI | - | NPPES |
2573713 | Medicaid | LA | |
1503 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1503 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Entity Name | Our Lady Of The Angels Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
Mailing Address | Practice Location Address |
---|---|
Heather Ellingson, PSYD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: () - | Heather Ellingson, PSYD 723 E Highway 30, Gonzales, LA 70737-4715 Ph: (225) 743-2202 |
Dr. Betye J Mashack, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1325 Babin Mill Drive, Gonzales, LA 70737 Phone: 225-673-8394 | |
Dr. Jesse D. Lambert, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1112 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-450-1016 Fax: 225-450-1150 | |
Alexa Elise Austin, SSP (ED.S.) Psychologist Medicare: Not Enrolled in Medicare Practice Location: 602 Whispering Waters Ave, Gonzales, LA 70737 Phone: 337-304-7993 |