| Dr Jennifer O'sullivan, MD | |
|
1629 Westbank Expy Ste A, Harvey, LA 70058-4364 | |
| (504) 582-0715 | |
| (504) 582-0716 |
| Full Name | Dr Jennifer O'sullivan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1629 Westbank Expy Ste A, Harvey, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487731204 | NPI | - | NPPES |
| 03232771 | Medicaid | MS | |
| 2458183 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 305136 (Louisiana) | Primary |
| 208000000X | Pediatrics | 19346 (Mississippi) | Secondary |
| Entity Name | Childrens Hospital Medical Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer O'sullivan, MD 2712 Esplanade Ave, New Orleans, LA 70119-3333 Ph: (601) 955-3614 | Dr Jennifer O'sullivan, MD 1629 Westbank Expy Ste A, Harvey, LA 70058-4364 Ph: (504) 582-0715 |
Mia H Weber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2439 Manhattan Blvd Ste 501a, Harvey, LA 70058 Phone: 504-569-5327 Fax: 504-323-3153 | |
Dr. William P Newman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2845 Manhattan Blvd, Harvey, LA 70058 Phone: 504-349-6930 Fax: 504-361-5496 | |
Dr. Truyen The Vu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3709 Westbank Expy, Suite 1b, Harvey, LA 70058 Phone: 504-348-2310 Fax: 504-348-1942 | |
Cac Thanh Le, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 851 Manhattan Blvd, Suite A, Harvey, LA 70058 Phone: 504-368-4392 Fax: 504-368-4396 |