| Bioactive Infusion & Wellness Of Baton Rouge, Llc | |
|
7941 Picardy Ave Baton Rouge LA 70809-3536 | |
| (888) 424-6228 | |
| (888) 612-0595 |
| Full Name | Bioactive Infusion & Wellness Of Baton Rouge, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7941 Picardy Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kimberly Bertrand Gatte (CEO) |
| Authorized Official Contact | 8884246228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bioactive Infusion & Wellness Of Baton Rouge, Llc 100 W Louisiana Ave Rayne LA 70578-5912 Ph: (888) 424-6228 | Bioactive Infusion & Wellness Of Baton Rouge, Llc 7941 Picardy Ave Baton Rouge LA 70809-3536 Ph: (888) 424-6228 |
| NPI Number | 1942088638 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 8022466788 |
|---|---|
| Medicare Enrollment ID | O20231120000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942088638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Hillary R Gelpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083987044 PECOS PAC ID: 9739340175 Enrollment ID: I20120412000190 |
| Provider Name | Kimberly Bertrand Gatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992637 PECOS PAC ID: 6507259025 Enrollment ID: I20220205000182 |
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