| Mary Jazayeri, NP, CNM | |
|
4650 Ambassador Caffery Pkwy Bldg C, Lafayette, LA 70508-6926 | |
| (337) 470-5239 | |
| (225) 765-9886 |
| Full Name | Mary Jazayeri |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4650 Ambassador Caffery Pkwy Bldg C, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518943836 | NPI | - | NPPES |
| Entity Name | Lourdes Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jazayeri, NP, CNM 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 470-5239 | Mary Jazayeri, NP, CNM 4650 Ambassador Caffery Pkwy Bldg C, Lafayette, LA 70508-6926 Ph: (337) 470-5239 |
Angelle E Dartez, Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 4630 Ambassador Caffery Pkwy Ste 206, Lafayette, LA 70508 Phone: 337-470-5239 |
Katherine Louise Greene, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4650 Ambassador Caffery Pkwy, Bldg C Ste 204, Lafayette, LA 70508 Phone: 337-470-5239 |
Mrs. Bronwen Lanclos Clement, MSN, APRN-CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Coolidge St Ste B, Lafayette, LA 70503 Phone: 337-412-4373 |
Jamie Lancon, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Coolidge St Ste B, Lafayette, LA 70503 Phone: 337-412-4373 Fax: 337-735-3967 |