| Joseph Corbin Prestidge, PA-C | |
|
18540 White Oak Dr, Prairieville, LA 70769-3737 | |
| (225) 802-8030 | |
| Not Available |
| Full Name | Joseph Corbin Prestidge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 18540 White Oak Dr, Prairieville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194163121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.200633 (Louisiana) | Primary |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| Entity Name | Lake Urgent Care Ascension LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Corbin Prestidge, PA-C 18540 White Oak Dr, Prairieville, LA 70769-3737 Ph: (225) 802-8030 | Joseph Corbin Prestidge, PA-C 18540 White Oak Dr, Prairieville, LA 70769-3737 Ph: (225) 802-8030 |
Mrs. Lauren Elizabeth Dougherty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 37550 Provence Pointe Ave, Prairieville, LA 70769 Phone: 225-978-9499 |
Madison Sapp, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18168 River Landing Dr, Prairieville, LA 70769 Phone: 225-610-5547 |
Mrs. Amanda G Comeaux, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38232 Charleston Rd, Prairieville, LA 70769 Phone: 225-362-7570 |
Alivia Simmons, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36404 The Bluffs Ave, Prairieville, LA 70769 Phone: 225-916-5150 |
Allison Engle Leblanc, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16220 Airline Hwy, Prairieville, LA 70769 Phone: 225-744-1111 |
Chloe Elizabeth Mcdaniel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17513 Old Jefferson Hwy, Prairieville, LA 70769 Phone: 225-673-7587 |