| Glynn Nusbaum, PA | |
|
1001 Gause Blvd, Slidell, LA 70458-2939 | |
| (985) 280-2200 | |
| Not Available |
| Full Name | Glynn Nusbaum |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1001 Gause Blvd, Slidell, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194453373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 333829 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Urgent Care, Llc | 8729138896 | 50 |
| Entity Name | Ochsner Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Coastal Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568601425 PECOS PAC ID: 8729138896 Enrollment ID: O20090611000042 |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | LSU Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | Vincent Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740816917 PECOS PAC ID: 0840621926 Enrollment ID: O20200505000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Glynn Nusbaum, PA 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Glynn Nusbaum, PA 1001 Gause Blvd, Slidell, LA 70458-2939 Ph: (985) 280-2200 |
Riley Dimaggio, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1150 Robert Blvd Ste 240, Slidell, LA 70458 Phone: 504-842-3000 |
Michael Anthony Beninato, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1375 Corporate Square Dr, Slidell, LA 70458 Phone: 985-377-1884 Fax: 985-377-1914 |
Mrs. Stacy Blackwell Maggio, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 119 Driftwood Cir, Slidell, LA 70458 Phone: 985-768-9980 |
Mrs. Naomi H Peters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 320, Slidell, LA 70458 Phone: 985-641-7577 |
Jerome Charles Mauterer Sr., CSTFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 490 Marina Dr, Slidell, LA 70458 Phone: 985-445-6902 |
Whitney Meshell Domangue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 |
Meaghan Marie Hurst, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 |