| Krista Dooley Dazzo, PA | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4438 | |
| Not Available |
| Full Name | Krista Dooley Dazzo |
|---|---|
| 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 |
|---|---|---|---|
| 1144864497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 320127 (Louisiana) | Primary |
| Entity Name | Calcasieu Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | St Tammany Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
| Entity Name | Washington Parish Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | Riverside Emergency Physician Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Dooley Dazzo, PA 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 Ph: (337) 534-0952 | Krista Dooley Dazzo, PA 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4438 |
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 |
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 |
Carly Caballero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 |