| Mckenna General Medical, Llc | |
|
1827 Gentilly Blvd New Orleans LA 70119-2051 | |
| (504) 943-1923 | |
| (504) 943-1933 |
| Full Name | Mckenna General Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1827 Gentilly Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Dwight Lawrence Mckenna (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 5049431923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna General Medical, Llc 1827 Gentilly Blvd New Orleans LA 70119-2051 Ph: (504) 943-1923 | Mckenna General Medical, Llc 1827 Gentilly Blvd New Orleans LA 70119-2051 Ph: (504) 943-1923 |
| NPI Number | 1164683645 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 08/12/2011 |
| Medicare PECOS PAC ID | 0749455434 |
|---|---|
| Medicare Enrollment ID | O20111207000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164683645 | NPI | - | NPPES |
| 1129267 | Medicaid | LA | |
| UP4206 | Other | LA | UNITED HEALTHCARE |
| F4229 | Other | LA | BLUE CROSS/BLUE SHIELD |
| 436664206B | Other | LA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Dwight L Mckenna |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316056419 PECOS PAC ID: 2860497963 Enrollment ID: I20060925000114 |
St. Thomas Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1936 Magazine St, New Orleans, LA 70130 Phone: 504-529-5558 Fax: 504-595-5020 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2633 Napoleon Ave, New Orleans, LA 70115 Phone: 504-842-7444 | |
Baptist Community Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 Fats Domino Ave, New Orleans, LA 70117 Phone: 504-533-4999 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Decatur St, New Orleans, LA 70130 Phone: 504-609-3833 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2013 General Meyer Ave, New Orleans, LA 70114 Phone: 504-207-3060 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Poydras St Ste 107, New Orleans, LA 70139 Phone: 504-703-1355 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12000 Hayne Blvd, New Orleans, LA 70128 Phone: 504-267-3882 |