| Sidney H Raymond, MD | |
|
13100 River Rd, Suite 120, Destrehan, LA 70047-5219 | |
| (985) 764-7669 | |
| (985) 764-7234 |
| Full Name | Sidney H Raymond |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 13100 River Rd, Destrehan, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629041777 | NPI | - | NPPES |
| 1485501 | Medicaid | LA | |
| 5E907DH01 | Other | LA | MEDICARE PTAN |
| 01381264 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023838 (Louisiana) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney H Raymond, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Sidney H Raymond, MD 13100 River Rd, Suite 120, Destrehan, LA 70047-5219 Ph: (985) 764-7669 |
Dr. James E Lanasa Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Longview Dr, Suite C, Destrehan, LA 70047 Phone: 985-764-7669 Fax: 985-764-7650 | |
Deanna S Elsea, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13100 River Rd Ste 120, Destrehan, LA 70047 Phone: 985-764-7669 |