| Jeffcare East Jefferson | |
|
3616 S I 10 Service Rd W Suite 100 Metairie LA 70001-1874 | |
| (504) 838-5257 | |
| (504) 838-5714 |
| Full Name | Jeffcare East Jefferson |
|---|---|
| Speciality | Clinic/Center |
| Location | 3616 S I 10 Service Rd W, Metairie, Louisiana |
| Authorized Official Name and Position | Rosanna Dichiro Derbes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5048385215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffcare East Jefferson 3616 S I 10 Service Rd W Ste 200 Metairie LA 70001-1874 Ph: (504) 838-5215 | Jeffcare East Jefferson 3616 S I 10 Service Rd W Suite 100 Metairie LA 70001-1874 Ph: (504) 838-5257 |
| NPI Number | 1518383785 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 7911125513 |
|---|---|
| Medicare Enrollment ID | O20140827000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518383785 | NPI | - | NPPES |
| 2369105 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Thomas A Hauth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154490183 PECOS PAC ID: 4789640806 Enrollment ID: I20041209000463 |
| Provider Name | Juan E Labadie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770609984 PECOS PAC ID: 6305894064 Enrollment ID: I20050110000375 |
| Provider Name | Indira M Kailas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316005853 PECOS PAC ID: 8123068483 Enrollment ID: I20050505000595 |
| Provider Name | Eric S Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750470886 PECOS PAC ID: 6800827353 Enrollment ID: I20050825000137 |
| Provider Name | Charles S Mylie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881779320 PECOS PAC ID: 3971609900 Enrollment ID: I20070508000068 |
| Provider Name | Leslie E Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598815888 PECOS PAC ID: 3678660073 Enrollment ID: I20071101000334 |
| Provider Name | Katharine J Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407985864 PECOS PAC ID: 1557443892 Enrollment ID: I20080125000458 |
| Provider Name | Judith Marie Hackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487610598 PECOS PAC ID: 3577648377 Enrollment ID: I20080304000349 |
| Provider Name | Nirmala Induru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124157417 PECOS PAC ID: 1355412081 Enrollment ID: I20080624000121 |
| Provider Name | Harriet Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669515359 PECOS PAC ID: 9032272521 Enrollment ID: I20090109000221 |
| Provider Name | Victor G Theriault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396742318 PECOS PAC ID: 2163587759 Enrollment ID: I20090214000018 |
| Provider Name | Brandon K Hider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629286075 PECOS PAC ID: 3678622925 Enrollment ID: I20090518000108 |
| Provider Name | James C Collier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578607032 PECOS PAC ID: 5294885786 Enrollment ID: I20090603000510 |
| Provider Name | Jamie E Hutchinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730368937 PECOS PAC ID: 4880745124 Enrollment ID: I20090626000597 |
| Provider Name | Betty C Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073886222 PECOS PAC ID: 5991967010 Enrollment ID: I20120507000060 |
| Provider Name | Kimberly M Pounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215174495 PECOS PAC ID: 0547410086 Enrollment ID: I20121018000690 |
| Provider Name | Krystle S Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033461645 PECOS PAC ID: 2961654850 Enrollment ID: I20121128000144 |
| Provider Name | Dale Lee Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912343799 PECOS PAC ID: 8628218567 Enrollment ID: I20130717000330 |
| Provider Name | Marianne M Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619224110 PECOS PAC ID: 3375786668 Enrollment ID: I20130906000030 |
| Provider Name | Kerri Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538415914 PECOS PAC ID: 3779715362 Enrollment ID: I20140414001570 |
| Provider Name | Jeronica J Hinyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871878934 PECOS PAC ID: 8527290956 Enrollment ID: I20140416002099 |
| Provider Name | Linda G Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518974401 PECOS PAC ID: 8921227265 Enrollment ID: I20140918000294 |
| Provider Name | Iris T Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548447220 PECOS PAC ID: 9537388699 Enrollment ID: I20140923000200 |
| Provider Name | Champa Chakraborti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992927636 PECOS PAC ID: 2163643214 Enrollment ID: I20141015000870 |
| Provider Name | Nicole C Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154726677 PECOS PAC ID: 2567788334 Enrollment ID: I20150313001773 |
| Provider Name | Benita G Baucom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699901777 PECOS PAC ID: 2062732753 Enrollment ID: I20150520001804 |
| Provider Name | Tresa C Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245673565 PECOS PAC ID: 1153641402 Enrollment ID: I20150528000091 |
| Provider Name | Gerren C Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366837775 PECOS PAC ID: 6305167255 Enrollment ID: I20150604001081 |
| Provider Name | Megan M Dauenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871900464 PECOS PAC ID: 9537470778 Enrollment ID: I20150615002382 |
| Provider Name | Alison D Schreefel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366786576 PECOS PAC ID: 5193033272 Enrollment ID: I20151009001855 |
| Provider Name | Chance Michael Mcinnis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962845768 PECOS PAC ID: 3779893417 Enrollment ID: I20151109000364 |
| Provider Name | Hoa T Le |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871762559 PECOS PAC ID: 6608047964 Enrollment ID: I20160513000748 |
| Provider Name | Jacquelyn D Kellett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326400797 PECOS PAC ID: 0143508283 Enrollment ID: I20161025001500 |
| Provider Name | Loretta Sonnier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154539799 PECOS PAC ID: 8820266166 Enrollment ID: I20170119000337 |
| Provider Name | Vita C Donnelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992241079 PECOS PAC ID: 0143505396 Enrollment ID: I20170330001174 |
| Provider Name | Lauren Adela Teverbaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235405416 PECOS PAC ID: 1052691623 Enrollment ID: I20170829001394 |
| Provider Name | Catherine M Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851458855 PECOS PAC ID: 6406121516 Enrollment ID: I20170928003605 |
| Provider Name | Laura R Dragon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750880266 PECOS PAC ID: 2567725534 Enrollment ID: I20180405000416 |
| Provider Name | Rebecca L Hubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558689505 PECOS PAC ID: 2062776008 Enrollment ID: I20180430000110 |
| Provider Name | Yogesh B Pancholi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588601330 PECOS PAC ID: 8729040704 Enrollment ID: I20180530002238 |
| Provider Name | Jessica Elaine Sonnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699278093 PECOS PAC ID: 6103176441 Enrollment ID: I20180906001794 |
| Provider Name | Carmen R Wisinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265446595 PECOS PAC ID: 0648523415 Enrollment ID: I20181024001250 |
| Provider Name | Marguerite R Stouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427533520 PECOS PAC ID: 1456693662 Enrollment ID: I20190508000638 |
| Provider Name | Ashley Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174059901 PECOS PAC ID: 1355675547 Enrollment ID: I20190621000574 |
| Provider Name | Brandy Michelle Barnes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215355599 PECOS PAC ID: 6002118817 Enrollment ID: I20191007000499 |
| Provider Name | Jessica Escoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073170379 PECOS PAC ID: 5799016382 Enrollment ID: I20191014000133 |
| Provider Name | Claudia M Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598307035 PECOS PAC ID: 9537592233 Enrollment ID: I20191211001622 |
| Provider Name | Chiquita A Blissett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417315094 PECOS PAC ID: 1456787704 Enrollment ID: I20200204002044 |
| Provider Name | Avanda L Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922461904 PECOS PAC ID: 9032545397 Enrollment ID: I20200204002349 |
| Provider Name | Kelly M Nuckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194365114 PECOS PAC ID: 6800223124 Enrollment ID: I20200227000276 |
| Provider Name | Isabelle A Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144769910 PECOS PAC ID: 9032526280 Enrollment ID: I20210406000614 |
| Provider Name | Jenny Mora Graffato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932770880 PECOS PAC ID: 4183005978 Enrollment ID: I20220726001624 |
| Provider Name | Flem Ballet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295401198 PECOS PAC ID: 0840674537 Enrollment ID: I20220830000780 |
| Provider Name | Elaine Isabelle Handcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033885207 PECOS PAC ID: 3476937111 Enrollment ID: I20220830003333 |
| Provider Name | Kellie Mattingly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113027 PECOS PAC ID: 6002291770 Enrollment ID: I20220915002675 |
| Provider Name | D'wendolyn Idell Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679922942 PECOS PAC ID: 9234514753 Enrollment ID: I20220920002702 |
| Provider Name | Matthew Perry Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558731919 PECOS PAC ID: 6507241890 Enrollment ID: I20220922003086 |
Talk Works Professional Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2955 Ridgelake Dr Ste 105, Metairie, LA 70002 Phone: 504-838-9919 Fax: 504-834-3103 | |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |
Celebration Hope Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Transcontinental Dr, Metairie, LA 70006 Phone: 504-833-4673 Fax: 504-885-0400 | |
The Relationship Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Division St, Suite 208, Metairie, LA 70002 Phone: 504-239-1974 | |
Art Scudari Lpc-s Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Athania Pkwy, Metairie, LA 70001 Phone: 504-756-9855 Fax: 504-832-5596 | |
Gno Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ridgelake Dr, Suit 201, Metairie, LA 70002 Phone: 504-373-6446 Fax: 504-509-6371 |