| Dr Myria A Mack-williams, MD | |
|
728 W 11th Ave, Covington, LA 70433-2318 | |
| (985) 893-3395 | |
| Not Available |
| Full Name | Dr Myria A Mack-williams |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 728 W 11th Ave, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245253814 | NPI | - | NPPES |
| 0000961001 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C1-0005655 (Delaware) | Secondary |
| 208000000X | Pediatrics | MD-427421 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | MD 205223 (Louisiana) | Primary |
| Entity Name | University Of South Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
| Entity Name | Usa Health Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Myria A Mack-williams, MD 728 W 11th Ave, Covington, LA 70433-2318 Ph: (985) 893-3395 | Dr Myria A Mack-williams, MD 728 W 11th Ave, Covington, LA 70433-2318 Ph: (985) 893-3395 |
Dr. Daniel R Bronfin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
John Eglin Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71107 Highway 21, Suite 1, Covington, LA 70433 Phone: 985-893-2580 | |
Alma Rivera-levy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 95 E Fairway Dr, Covington, LA 70433 Phone: 985-867-3800 | |
Merrill James Laurent, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Dr. Susan F Ovella, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 728 W 11th Ave, Covington, LA 70433 Phone: 225-765-5777 Fax: 225-765-6642 | |
Sherri Bagent Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71107 Highway 21, Suite 1, Covington, LA 70433 Phone: 985-893-2580 Fax: 985-871-9418 | |
Dr. Julie Marie Baham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 69318 Highway 21, Covington, LA 70433 Phone: 985-875-2828 |