| Dr Jeevan Kumar Yenuganti, BDS, MSPH | |
|
1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | |
| (504) 821-2601 | |
| (888) 736-9806 |
| Full Name | Dr Jeevan Kumar Yenuganti |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1631 Elysian Fields Ave, New Orleans, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083801880 | NPI | - | NPPES |
| 034897 | Other | LA | CDS |
| 1864218 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6421 (Louisiana) | Primary |
| Entity Name | Southeast Community Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023147113 PECOS PAC ID: 4284610437 Enrollment ID: O20050124000119 |
| Entity Name | Marillac Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396059796 PECOS PAC ID: 3678755535 Enrollment ID: O20110314000767 |
| Entity Name | Southeast Community Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366617367 PECOS PAC ID: 4284610437 Enrollment ID: O20120808000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeevan Kumar Yenuganti, BDS, MSPH 2357 Ormond Blvd, Destrehan, LA 70047-2103 Ph: (504) 638-8466 | Dr Jeevan Kumar Yenuganti, BDS, MSPH 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 Ph: (504) 821-2601 |
Dr. Carlos Eduardo Setti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4141 Bienville St, New Orleans, LA 70119 Phone: 504-900-1195 Fax: 504-513-2062 | |
Dr. Verna L Schuetter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1612 Lauradale Dr, New Orleans, LA 70114 Phone: 707-631-9645 | |
Dr. Panagiotis Dragonas, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Florida Ave, New Orleans, LA 70119 Phone: 504-941-8278 | |
Dr. Chet Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Florida Ave, Box 142, New Orleans, LA 70119 Phone: 504-941-8111 Fax: 504-941-8112 | |
Dr. Caylin Nicole Greene, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 14th St, New Orleans, LA 70124 Phone: 561-758-4791 | |
Dr. Nicholas John Miniotis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Florida Ave, New Orleans, LA 70119 Phone: 504-941-8470 Fax: 504-941-8218 | |
Dr. Marshall Ivan Gottsegen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3424 Coliseum St, New Orleans, LA 70115 Phone: 504-895-4841 Fax: 504-899-4872 |