| Slidell Internal Medicine Clinic Llc | |
|
105 Medical Center Dr Suite 301 Slidell LA 70461-5544 | |
| (985) 646-0123 | |
| (985) 641-0330 |
| Full Name | Slidell Internal Medicine Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Medical Center Dr, Slidell, Louisiana |
| Authorized Official Name and Position | Allan Quibilan Larcena (OWNER) |
| Authorized Official Contact | 9856460123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slidell Internal Medicine Clinic Llc 105 Medical Center Dr Suite 301 Slidell LA 70461-5544 Ph: (985) 646-0123 | Slidell Internal Medicine Clinic Llc 105 Medical Center Dr Suite 301 Slidell LA 70461-5544 Ph: (985) 646-0123 |
| NPI Number | 1700090016 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 12/28/2007 |
| Medicare PECOS PAC ID | 3779593298 |
|---|---|
| Medicare Enrollment ID | O20060428000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700090016 | NPI | - | NPPES |
| 1662097 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11339R (Louisiana) | Primary |
| Provider Name | Allan Larcena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275579724 PECOS PAC ID: 8820980667 Enrollment ID: I20060501000011 |
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 | |
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 | |
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 | |
Pedro A Serrant Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Suite 103, Slidell, LA 70461 Phone: 985-646-4464 Fax: 985-646-4475 | |
Crescent Urgent & Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3769 Pontchartrain Dr Ste 1, Slidell, LA 70458 Phone: 504-544-9698 Fax: 985-288-4181 | |
Morrison Medical Specialties Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Suite 304, Slidell, LA 70461 Phone: 985-646-4580 Fax: 985-781-1946 | |
Linda C Mcelveen Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Gause Blvd E, Ste 103, Slidell, LA 70461 Phone: 985-781-8565 |