| Baton Rouge General Physicians Concierge Medicine, Llc | |
|
10523 N Oak Hills Pkwy Ste A Baton Rouge LA 70810-2858 | |
| (225) 763-4427 | |
| (225) 763-4378 |
| Full Name | Baton Rouge General Physicians Concierge Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10523 N Oak Hills Pkwy Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall Johnson (VP CFO) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge General Physicians Concierge Medicine, Llc 8585 Picardy Ave Baton Rouge LA 70809-3748 Ph: (225) 381-6244 | Baton Rouge General Physicians Concierge Medicine, Llc 10523 N Oak Hills Pkwy Ste A Baton Rouge LA 70810-2858 Ph: (225) 763-4427 |
| NPI Number | 1588187686 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 4880944107 |
|---|---|
| Medicare Enrollment ID | O20180907001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588187686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gunjan Raina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437325206 PECOS PAC ID: 9335335397 Enrollment ID: I20101202000422 |
| Provider Name | April H Mcculloh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114160702 PECOS PAC ID: 8921264656 Enrollment ID: I20120725000492 |
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