| Laderer Physician Services | |
|
2375 Gause Blvd E Slidell LA 70461-4142 | |
| (985) 645-9000 | |
| (985) 645-0359 |
| Full Name | Laderer Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2375 Gause Blvd E, Slidell, Louisiana |
| Authorized Official Name and Position | Robert C. Laderer (OWNER) |
| Authorized Official Contact | 9856459000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laderer Physician Services 2375 Gause Blvd E Slidell LA 70461-4142 Ph: (985) 645-9000 | Laderer Physician Services 2375 Gause Blvd E Slidell LA 70461-4142 Ph: (985) 645-9000 |
| NPI Number | 1518191188 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 4082763396 |
|---|---|
| Medicare Enrollment ID | O20090515000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518191188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 019740 (Louisiana) | Primary |
| Provider Name | Robert Craig Laderer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487643094 PECOS PAC ID: 0042292658 Enrollment ID: I20040607000113 |
| Provider Name | Miranda C Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003857830 PECOS PAC ID: 5395787659 Enrollment ID: I20050526000183 |
Medical Integrative Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Lindberg Dr Ste E, Slidell, LA 70458 Phone: 769-926-5781 |
Aleta N. De Clouet, M.D., LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 659 Brownswitch Road, Slidell, LA 70458 Phone: 985-781-7577 Fax: 985-781-7579 |
Peace Love Wellness Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Gause Blvd, Slidell, LA 70458 Phone: 985-260-1999 |
Northlake Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Gause Blvd Ste 2, Slidell, LA 70458 Phone: 985-641-6454 Fax: 985-641-6458 |
White Coat Medical Group LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 736 Gause Blvd, Slidell, LA 70458 Phone: 985-788-2221 |
M a Culasso, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Gause Blvd, Slidell, LA 70458 Phone: 985-649-0945 Fax: 985-643-8510 |