Internal Medicine Clinic Of Tangipahoa, Llc - Medicare in Hammond, LA

  1. Home
Internal Medicine Clinic Of Tangipahoa, Llc is a medicare enrolled "Internal Medicine" provider in Hammond, Louisiana. Their current practice location is 42388 Pelican Professional Park, Hammond, Louisiana. You can reach out to their office (for appointments etc.) via phone at (985) 542-6251.

Internal Medicine Clinic Of Tangipahoa, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Internal Medicine Clinic Of Tangipahoa, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1588678494.

Contact Information

Internal Medicine Clinic Of Tangipahoa, Llc
42388 Pelican Professional Park,
Hammond, LA 70403
(985) 542-6251
(985) 345-2386

Map and Direction




Healthcare Provider's Profile

Full NameInternal Medicine Clinic Of Tangipahoa, Llc
TypeFacility
SpecialityInternal Medicine
Location42388 Pelican Professional Park, Hammond, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588678494
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 08/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234034778
  • Enrollment ID: O20031206000015

Medical Identifiers

Medical identifiers for Internal Medicine Clinic Of Tangipahoa, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588678494NPI-NPPES
10664-EQT2OtherLAPODIATRY X-RAY REG #
19D0997591OtherLAMAIN LAB CLIA #
5CB03OtherLAGROUP NUMBER
1442933MedicaidLA
10664-EQT1OtherLAX-RAY REG #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Internal Medicine Clinic Of Tangipahoa, Llc acts as a billing entity for following providers:
Provider NameJoseph P Dileo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1396774824
PECOS PAC ID: 7214984061
Enrollment ID: I20050404000640
Provider NameMark D Drummond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356462972
PECOS PAC ID: 8628179108
Enrollment ID: I20070727000512
Provider NameSousan L Zadeh
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1194920710
PECOS PAC ID: 2769534148
Enrollment ID: I20090715000707
Provider NameShani G Booth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407087034
PECOS PAC ID: 2062558240
Enrollment ID: I20090930000732
Provider NameLeonard Treanor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487823506
PECOS PAC ID: 1759455876
Enrollment ID: I20100223000307
Provider NameKyle L Caulfield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164420162
PECOS PAC ID: 5597660035
Enrollment ID: I20100820000708
Provider NameNicholas C Stevens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477551612
PECOS PAC ID: 4688579121
Enrollment ID: I20100914000554
Provider NameRafael O Robledo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497965198
PECOS PAC ID: 5597947168
Enrollment ID: I20110303000686
Provider NameBrianne G Lagasse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114316635
PECOS PAC ID: 3577880384
Enrollment ID: I20150316000985
Provider NameScott Picou
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346506821
PECOS PAC ID: 4183936073
Enrollment ID: I20150707001122
Provider NameAlison L Thornhill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528409612
PECOS PAC ID: 7719284926
Enrollment ID: I20160401000251
Provider NameAllen Ryan Seal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083072623
PECOS PAC ID: 0446558720
Enrollment ID: I20160420000844
Provider NameMegan M Mcgoey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679933287
PECOS PAC ID: 1456643386
Enrollment ID: I20161026001235
Provider NameJoan C Peperone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922538222
PECOS PAC ID: 2769755313
Enrollment ID: I20170905000463
Provider NameKristina M Gross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104349950
PECOS PAC ID: 2466718622
Enrollment ID: I20171106000310
Provider NameKassidy Blaine Wall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154845147
PECOS PAC ID: 8022375922
Enrollment ID: I20171201000212
Provider NameAshley M Mossbarger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114421112
PECOS PAC ID: 0446514483
Enrollment ID: I20180430000034
Provider NameJennifer C Roche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477047512
PECOS PAC ID: 3870841851
Enrollment ID: I20180808000414
Provider NameNicholas Ryan Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245725837
PECOS PAC ID: 3971853441
Enrollment ID: I20180904001278
Provider NameStaci R Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750879672
PECOS PAC ID: 4082965009
Enrollment ID: I20181001001684
Provider NameChelsea Marie Rodi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528532728
PECOS PAC ID: 0547501926
Enrollment ID: I20190411002759
Provider NameAngela R Paretti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124686571
PECOS PAC ID: 9436489630
Enrollment ID: I20191002000590
Provider NameKrizia Robledo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033656491
PECOS PAC ID: 5193056067
Enrollment ID: I20191007002674
Provider NameChristopher D Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861026049
PECOS PAC ID: 5799198917
Enrollment ID: I20210107002667
Provider NameAmy Renee Miles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356936694
PECOS PAC ID: 1557779899
Enrollment ID: I20210426001736
Provider NameAnna Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902553613
PECOS PAC ID: 5890172191
Enrollment ID: I20220506000872
Provider NameKirsten M Held
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457075939
PECOS PAC ID: 8426426602
Enrollment ID: I20221118001211
Provider NameErica Huston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154034247
PECOS PAC ID: 0446621957
Enrollment ID: I20230120000348
Provider NamePaul J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336847706
PECOS PAC ID: 8527433226
Enrollment ID: I20230411002800
Provider NameTiffany M Brady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073249272
PECOS PAC ID: 6608239785
Enrollment ID: I20230823002122
Provider NameKenberly K Baughman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275248536
PECOS PAC ID: 4587018064
Enrollment ID: I20231003000410

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Internal Medicine Clinic Of Tangipahoa, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Internal Medicine Clinic Of Tangipahoa, Llc
Po Box 1799,
Hammond, LA 70404-1799

Ph: (985) 542-6251		Internal Medicine Clinic Of Tangipahoa, Llc
42388 Pelican Professional Park,
Hammond, LA 70403

Ph: (985) 542-6251

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.