Grace Health Clinic - Medicare Primary Care in Slidell, LA

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Grace Health Clinic is a medicare enrolled primary clinic (Family Medicine) in Slidell, Louisiana. The current practice location for Grace Health Clinic is 1415 Corporate Square Dr Ste A, Slidell, Louisiana. For appointments, you can reach them via phone at (985) 259-4854. The mailing address for Grace Health Clinic is 1415 Corporate Square Dr Ste A, Slidell, Louisiana and phone number is (985) 259-4854.

Grace Health Clinic is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1295290963. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (985) 259-4854.

Contact Information

Grace Health Clinic
1415 Corporate Square Dr Ste A
Slidell
LA 70458-3151
(985) 259-4854
(855) 807-4750

Map and Direction


Primary Care Clinic Profile

Full NameGrace Health Clinic
SpecialityFamily Medicine
Location1415 Corporate Square Dr Ste A, Slidell, Louisiana
Authorized Official Name and PositionBianca D Jackson (CLINIC ADMINISTRATOR)
Authorized Official Contact9852594854
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Health Clinic
1415 Corporate Square Dr Ste A
Slidell
LA 70458-3151

Ph: (985) 259-4854		Grace Health Clinic
1415 Corporate Square Dr Ste A
Slidell
LA 70458-3151

Ph: (985) 259-4854

NPI Details:

NPI Number1295290963
Provider Enumeration Date02/06/2019
Last Update Date06/17/2021
Certification Date06/17/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2668708272
Medicare Enrollment IDO20190719000668

Medical Identifiers

Medical identifiers for Grace Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295290963NPI-NPPES
05427361MedicaidMS
2427806MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grace Health Clinic acts as a billing entity for following providers:
Provider NameDarrin J Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407296775
PECOS PAC ID: 9931423829
Enrollment ID: I20160909000819
Provider NameAspen J Hardges
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649715004
PECOS PAC ID: 4880976638
Enrollment ID: I20190815000758
Provider NameDamita Veleka Carter-holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538703202
PECOS PAC ID: 8224468400
Enrollment ID: I20200501000744
Provider NameNichole Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548900814
PECOS PAC ID: 3274908652
Enrollment ID: I20230418000210

Reviews and Comments

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Phone: 985-641-6454    Fax: 985-641-6458
White Coat Medical Group LLC
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Medicare: Medicare Enrolled
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M a Culasso, LLC
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Medicare: Not Enrolled in Medicare
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Phone: 985-649-0945    Fax: 985-643-8510

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.