| Dr. Gary Birdsall Medical Clinic Llc | |
|
102 W 112th St Cut Off LA 70345-3628 | |
| (985) 632-5222 | |
| (985) 632-4222 |
| Full Name | Dr. Gary Birdsall Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 102 W 112th St, Cut Off, Louisiana |
| Authorized Official Name and Position | Gary Birdsall (MD/OWNER) |
| Authorized Official Contact | 9856325222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gary Birdsall Medical Clinic Llc 102 W 112th St Cut Off LA 70345-3628 Ph: (985) 632-5222 | Dr. Gary Birdsall Medical Clinic Llc 102 W 112th St Cut Off LA 70345-3628 Ph: (985) 632-5222 |
| NPI Number | 1245667823 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 03/21/2014 |
| Medicare PECOS PAC ID | 5294966420 |
|---|---|
| Medicare Enrollment ID | O20140401000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245667823 | NPI | - | NPPES |
| 1366145 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary J Birdsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649213596 PECOS PAC ID: 5193717056 Enrollment ID: I20040331001183 |
| Provider Name | Camille C Pitre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073568341 PECOS PAC ID: 7113996075 Enrollment ID: I20040928000293 |
| Provider Name | Janie L Trosclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720444946 PECOS PAC ID: 1557667714 Enrollment ID: I20160315000088 |
Ochsner Health Center - Galliano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 W 112th St, Cut Off, LA 70345 Phone: 985-632-1070 | |
Eddie Smith Md A Prof Med Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Picciola Pkwy, Cut Off, LA 70345 Phone: 985-325-6226 | |
Lady Of The Sea After Hours Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 W 134th St, Cut Off, LA 70345 Phone: 985-325-9700 Fax: 985-325-9701 | |
Lady Of The Sea Medical Clinic - Cut Off Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 W 134th Pl, Cut Off, LA 70345 Phone: 985-632-6233 Fax: 985-632-7526 |