| Carly Caballero, PA-C | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4000 | |
| Not Available |
| Full Name | Carly Caballero |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1202 S Tyler St, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194420737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 337792 (Louisiana) | Primary |
| Entity Name | Kenner Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013986546 PECOS PAC ID: 8426011230 Enrollment ID: O20041111000475 |
| Entity Name | Belle Chasse Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Caballero, PA-C Po Box 669379, Dallas, TX 75266-9379 Ph: (985) 898-4000 | Carly Caballero, PA-C 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Paige Long, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Judge Tanner Blvd Ste 300, Covington, LA 70433 Phone: 985-888-8750 Fax: 985-888-8760 |
Mr. Hugo F. Quevedo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Judge Tanner Blvd Ste 300, Covington, LA 70433 Phone: 859-867-2100 Fax: 985-871-1548 |
Amy Landry Barkerding, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 71107 Highway 21, Covington, LA 70433 Phone: 985-893-2580 Fax: 985-893-1680 |
Mr. Christopher J Salsman, CSA PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 429 Place Saint Michel, Covington, LA 70433 Phone: 504-615-7540 Fax: 985-893-2743 |
Krista Dooley Dazzo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4438 |
Mrs. Natalie Jenkins Deggans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-777-7000 Fax: 985-777-9000 |
Lesley Marie Dubuc, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Judge Tanner Blvd Ste 506, Covington, LA 70433 Phone: 985-867-2131 Fax: 985-867-2132 |