| Srivyshnavi Surapaneni, | |
|
3100 Gentilly Blvd, New Orleans, LA 70122-3854 | |
| (504) 383-0599 | |
| Not Available |
| Full Name | Srivyshnavi Surapaneni |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3100 Gentilly Blvd, New Orleans, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609364819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 328769 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | V8173 (Texas) | Primary |
| Entity Name | Belle Chasse Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 |
| Entity Name | Pmr La Holding, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700333689 PECOS PAC ID: 7315355062 Enrollment ID: O20210416001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Srivyshnavi Surapaneni, 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (504) 383-0599 | Srivyshnavi Surapaneni, 3100 Gentilly Blvd, New Orleans, LA 70122-3854 Ph: (504) 383-0599 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |