| Dr Erin Nicole Vicknair, MD | |
|
4200 Houma Blvd, Metairie, LA 70006-2970 | |
| (504) 454-5683 | |
| (504) 456-8195 |
| Full Name | Dr Erin Nicole Vicknair |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 16 Years |
| Location | 4200 Houma Blvd, Metairie, 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 |
|---|---|---|---|
| 1114151578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD.206074 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| Omega Hospital, Llc | Metairie, LA | Hospital |
| Touro Infirmary | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Pathology Llc | 5991803355 | 2 |
| Entity Name | Jefferson Pathology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215963814 PECOS PAC ID: 5991803355 Enrollment ID: O20070607000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erin Nicole Vicknair, MD 4200 Houma Blvd, Metairie, LA 70006-2970 Ph: (504) 454-5683 | Dr Erin Nicole Vicknair, MD 4200 Houma Blvd, Metairie, LA 70006-2970 Ph: (504) 454-5683 |
Richard Douglas Demoss, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-545-5683 Fax: 504-456-8195 | |
Joan Theresa Hoffpauir, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 | |
Arthur Herman Reif, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Department Of Pathology, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Theresa Jeanne Nuttli, Pathology Medicare: Medicare Enrolled Practice Location: 520 Ridgewood Dr, Metairie, LA 70001 Phone: 504-460-0270 | |
Barry William Sartin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 S I 10 Service Rd W, Metairie, LA 70001 Phone: 504-883-4817 Fax: 504-883-4911 | |
Barry James Breaux, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 |