| Vicki Tessitore Matherne, CNM | |
|
15813 Paul Vega Md Dr Ste 200, Hammond, LA 70403-1431 | |
| (985) 230-7650 | |
| (985) 230-7655 |
| Full Name | Vicki Tessitore Matherne |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 15813 Paul Vega Md Dr Ste 200, Hammond, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659427417 | NPI | - | NPPES |
| 1543314 | Medicaid | LA | |
| AP03301 | Other | LA | MW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP03301 (Louisiana) | Primary |
| 367A00000X | Advanced Practice Midwife | RN064193 (Louisiana) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Tessitore Matherne, CNM 15192 Highway 22, Ponchatoula, LA 70454-6475 Ph: (985) 370-7953 | Vicki Tessitore Matherne, CNM 15813 Paul Vega Md Dr Ste 200, Hammond, LA 70403-1431 Ph: (985) 230-7650 |
Amy Priez Linn, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr Ste 200, Hammond, LA 70403 Phone: 985-230-7650 Fax: 985-230-7655 | |
Jennifer Bonaventure, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 15778 Medical Arts Dr, Hammond, LA 70403 Phone: 985-542-0663 |