| Bethesda Medical Clinic, Llc | |
|
1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 | |
| (504) 265-8304 | |
| (504) 309-4193 |
| Full Name | Bethesda Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1151 Barataria Blvd Ste 3400, Marrero, Louisiana |
| Authorized Official Name and Position | Shibu Varughese (PRESIDENT/MANAGER) |
| Authorized Official Contact | 5044945378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Medical Clinic, Llc 1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 Ph: (504) 265-8304 | Bethesda Medical Clinic, Llc 1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 Ph: (504) 265-8304 |
| NPI Number | 1912271412 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 06/15/2022 |
| Medicare PECOS PAC ID | 3971764259 |
|---|---|
| Medicare Enrollment ID | O20120412000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912271412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | MD203694 (Louisiana) | Primary |
| Provider Name | Joann Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669651196 PECOS PAC ID: 9537257795 Enrollment ID: I20071121000539 |
| Provider Name | Evona L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265769327 PECOS PAC ID: 4486795523 Enrollment ID: I20100111000765 |
| Provider Name | Maria Azucena M Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710146196 PECOS PAC ID: 9931234598 Enrollment ID: I20100322000167 |
| Provider Name | Amy Varughese |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538492517 PECOS PAC ID: 3870634793 Enrollment ID: I20100820000474 |
| Provider Name | Shibu Varughese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346475506 PECOS PAC ID: 2062553985 Enrollment ID: I20120412000708 |
| Provider Name | Larry G Thirstrup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770834012 PECOS PAC ID: 7517850407 Enrollment ID: I20161017000800 |
| Provider Name | Holly K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845234 PECOS PAC ID: 6305125022 Enrollment ID: I20161119000062 |
| Provider Name | Ashik S Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780094482 PECOS PAC ID: 8921396706 Enrollment ID: I20170717000778 |
| Provider Name | Ashraf Dwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689088403 PECOS PAC ID: 6103192588 Enrollment ID: I20180906003347 |
| Provider Name | Krystal Marie Gettys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942822556 PECOS PAC ID: 8022425677 Enrollment ID: I20210325002275 |
| Provider Name | Whitney Diovonne Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063005718 PECOS PAC ID: 3779992060 Enrollment ID: I20210518001249 |
| Provider Name | Sushma Rawat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740972090 PECOS PAC ID: 3870949100 Enrollment ID: I20231024000205 |
Women's Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Westbank Expy, Marrero, LA 70072 Phone: 504-341-4000 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5417 Ehret Rd, Marrero, LA 70072 Phone: 504-575-3712 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Avenue F, Marrero, LA 70072 Phone: 504-341-1603 Fax: 504-341-1641 | |
West Jefferson Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072 Phone: 504-349-6450 Fax: 504-349-6454 | |
Auc Healthcare Solutions, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-432-3207 Fax: 504-617-7408 | |
Lifeline Health Essentials Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr, Suite 201, Marrero, LA 70072 Phone: 504-758-4220 | |
Jefferson Community Health Care Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 Ames Blvd, Marrero, LA 70072 Phone: 504-328-0488 Fax: 504-328-0899 |