| Ascension Medical Associates, Llc | |
|
37325 Market Place Dr. Suite D Prairieville LA 70769 | |
| (225) 953-7388 | |
| (225) 953-7389 |
| Full Name | Ascension Medical Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 37325 Market Place Dr., Prairieville, Louisiana |
| Authorized Official Name and Position | Melissa Lavergne (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2259537388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Associates, Llc 37325 Market Place Dr Ste D Prairieville LA 70769-3499 Ph: (225) 953-7388 | Ascension Medical Associates, Llc 37325 Market Place Dr. Suite D Prairieville LA 70769 Ph: (225) 953-7388 |
| NPI Number | 1417474339 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417474339 | NPI | - | NPPES |
| 1538182118 | Other | LA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 204876 (Louisiana) | Primary |
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