| Dedicated Concepts LLC | |
|
6220 Florida Blvd Ste C Baton Rouge LA 70806-4556 | |
| (225) 443-1225 | |
| (800) 768-7675 |
| Full Name | Dedicated Concepts LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 6220 Florida Blvd Ste C, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Valerie Selvage (ADMINISTRATOR) |
| Authorized Official Contact | 2254431225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Concepts LLC 6220 Florida Blvd Ste C Baton Rouge LA 70806-4556 Ph: (225) 443-1225 | Dedicated Concepts LLC 6220 Florida Blvd Ste C Baton Rouge LA 70806-4556 Ph: (225) 443-1225 |
| NPI Number | 1023855467 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/09/2024 |
| Medicare PECOS PAC ID | 3173033198 |
|---|---|
| Medicare Enrollment ID | O20250610000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023855467 | NPI | - | NPPES |
| Provider Name | Juan Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760659551 PECOS PAC ID: 6507938123 Enrollment ID: I20080626000337 |
| Provider Name | Monique Pierre Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588184220 PECOS PAC ID: 6507130341 Enrollment ID: I20170918003240 |
| Provider Name | Carol J Darr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265514426 PECOS PAC ID: 2567894413 Enrollment ID: I20200323000248 |
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