| Accord Rehabilitation Part B Practice | |
|
59213 Riverwest Dr. Plaquemine LA 70764 | |
| (225) 687-8100 | |
| Not Available |
| Full Name | Accord Rehabilitation Part B Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 59213 Riverwest Dr., Plaquemine, Louisiana |
| Authorized Official Name and Position | Julene Mcalister (ADMINISTRATOR) |
| Authorized Official Contact | 2256878100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accord Rehabilitation Part B Practice 59213 Riverwest Dr. Plaquemine LA 70764 Ph: (225) 687-8100 | Accord Rehabilitation Part B Practice 59213 Riverwest Dr. Plaquemine LA 70764 Ph: (225) 687-8100 |
| NPI Number | 1982194817 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/16/2018 |
| Medicare PECOS PAC ID | 6709873052 |
|---|---|
| Medicare Enrollment ID | O20220427000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982194817 | NPI | - | NPPES |
| 1700801 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Kissley Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813931 PECOS PAC ID: 5395024129 Enrollment ID: I20161117001829 |
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