| Mylaurel Medical Group La, Llc | |
|
1320 Magazine St Ste 203 New Orleans LA 70130-4267 | |
| (504) 475-1283 | |
| Not Available |
| Full Name | Mylaurel Medical Group La, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1320 Magazine St Ste 203, New Orleans, Louisiana |
| Authorized Official Name and Position | Leslie Baldridge (CREDENTIALING) |
| Authorized Official Contact | 7024176255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylaurel Medical Group La, Llc 885 3rd Ave Fl 29 New York NY 10022-4834 Ph: (702) 417-6255 | Mylaurel Medical Group La, Llc 1320 Magazine St Ste 203 New Orleans LA 70130-4267 Ph: (504) 475-1283 |
| NPI Number | 1306341060 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8123365467 |
|---|---|
| Medicare Enrollment ID | O20190124003081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306341060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kawander L Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154634111 PECOS PAC ID: 0840426417 Enrollment ID: I20131204001255 |
| Provider Name | Nse Obung Inyang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274332 PECOS PAC ID: 4486089752 Enrollment ID: I20201123001882 |
| Provider Name | Marcy Gleit Carty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326038928 PECOS PAC ID: 6103844725 Enrollment ID: I20220803002216 |
| Provider Name | Whitney Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20230130000037 |
| Provider Name | Benjamin Craxton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063941433 PECOS PAC ID: 4284065426 Enrollment ID: I20231222000782 |
| Provider Name | Gina G Puglisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366472011 PECOS PAC ID: 3375574312 Enrollment ID: I20240106000714 |
| Provider Name | Turandot Saul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578614434 PECOS PAC ID: 7911099684 Enrollment ID: I20240202000296 |
| Provider Name | Clay Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104072636 PECOS PAC ID: 7416088430 Enrollment ID: I20240905004306 |
| Provider Name | Esteban Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518611573 PECOS PAC ID: 7315314408 Enrollment ID: I20240930003737 |
| Provider Name | Megan Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891146569 PECOS PAC ID: 9032454467 Enrollment ID: I20241126004225 |
| Provider Name | Ellen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235746553 PECOS PAC ID: 3072909696 Enrollment ID: I20241127001913 |
| Provider Name | Kimberly Santee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193183 PECOS PAC ID: 1456767102 Enrollment ID: I20250103001385 |
| Provider Name | Jamie Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508121708 PECOS PAC ID: 1557515574 Enrollment ID: I20250217001869 |
| Provider Name | Ryan Edward Tansek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316203888 PECOS PAC ID: 0648562025 Enrollment ID: I20250219001813 |
| Provider Name | Janelle Suarez Widi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598029274 PECOS PAC ID: 3274787635 Enrollment ID: I20250220003631 |
| Provider Name | Maha Salama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841653243 PECOS PAC ID: 0345666954 Enrollment ID: I20250304004086 |
| Provider Name | Jennifer Reyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194258921 PECOS PAC ID: 5496177016 Enrollment ID: I20250307000137 |
| Provider Name | Christopher Bodle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407232 PECOS PAC ID: 9335443597 Enrollment ID: I20250421000091 |
| Provider Name | Lisa Inchani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487927182 PECOS PAC ID: 1355561721 Enrollment ID: I20250428003045 |
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 |