| Joseph J Creely Jr, MD | |
|
3645 Houma Blvd, Metairie, LA 70006 | |
| (504) 885-4677 | |
| (504) 888-0549 |
| Full Name | Joseph J Creely Jr |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 3645 Houma Blvd, Metairie, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922044171 | NPI | - | NPPES |
| 1102938 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 10293 (Louisiana) | Primary |
| Entity Name | Mg Desalvo Md & Gm Gremillion Md Amc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972623049 PECOS PAC ID: 2769402254 Enrollment ID: O20051129000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Creely Jr, MD 3645 Houma Blvd, Metairie, LA 70006 Ph: (504) 885-4677 | Joseph J Creely Jr, MD 3645 Houma Blvd, Metairie, LA 70006 Ph: (504) 885-4677 |
Michael Lester Lifsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4770 S I 10 Service Rd W Ste 110, Metairie, LA 70001 Phone: 504-454-3277 Fax: 504-887-8934 | |
Dr. Sean Richard Weiss, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2201 Veterans Memorial Blvd, Suite 408, Metairie, LA 70002 Phone: 504-814-3223 Fax: 504-265-9498 | |
Burr D. Ilgenfritz, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4224 Houma Blvd, Suite 640, Metairie, LA 70006 Phone: 504-456-5120 | |
Paul M. Spring, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Houma Blvd Ste 500, Metairie, LA 70006 Phone: 504-454-1080 Fax: 504-455-4463 | |
Dr. Bryce Joseph Leblanc Jr., M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3901 Houma Blvd, Ste 500, Metairie, LA 70006 Phone: 504-454-1080 Fax: 504-455-4463 | |
Dr. Steven Anthony Scalco, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 3812 Ridgelake Dr, Ste 2b, Metairie, LA 70002 Phone: 504-833-0250 Fax: 504-833-4596 | |
Michael G Desalvo, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 3645 Houma Blvd, Metairie, LA 70006 Phone: 504-885-4677 Fax: 504-888-0549 |