Wallace E Jeanfreau (NPI# 1518065978, PAC ID# 5092737072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518065978 |
| PAC ID by PECOS | 5092737072 |
| Professional Enrollment ID | I20051220000216 |
| Full Name | Wallace E Jeanfreau |
| Organization Legal Name | JENCARE NEIGHBORHOOD MEDICAL CENTER KENNER LLC |
| Address |
1918 Williams Blvd Kenner LA 70062-6232 |
| Phone Number | 5044714860 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810145695 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1918 Williams Blvd, Kenner, LA 70062-6232 | 5044714860 | JENCARE NEIGHBORHOOD MEDICAL CENTER KENNER LLC |
| Organization Legal Name | JENCARE NEIGHBORHOOD MEDICAL CENTER KENNER LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette M Deslatte | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Winoka S Banks | Nurse Practitioner | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Steven M Youngblood | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Cheryll N Cash | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Street Address |
1918 WILLIAMS BLVD |
| City | KENNER |
| State | LA |
| Zip | 70062-6232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette M Deslatte | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Winoka S Banks | Nurse Practitioner | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Steven M Youngblood | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Cheryll N Cash | Internal Medicine | Jencare Neighborhood Medical Center Kenner LLC | 1918 Williams Blvd, Kenner, LA 70062-6232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deishonda Greenwood | Clinical Social Worker | 2200 Veterans Memorial Blvd, Suite 103, Kenner, LA 70062-4021 | |
| Nicholas J Angelica | Internal Medicine | 2002 20th St, Suite B101, Kenner, LA 70062-4404 | |
| Jeremy G Dumas | Internal Medicine | Jefferson Community Health Care Centers, Inc | 2552 Williams Blvd, Kenner, LA 70062-5538 |
| Genelle S Price | Internal Medicine | Jefferson Community Health Care Centers, Inc | 2552 Williams Blvd, Kenner, LA 70062-5538 |
| Kaylie M Miceli | Nurse Practitioner | Wound Care Associates LLC | 2401 Idaho Ave, Kenner, LA 70062-5715 |
| Lyle Robert Burkhardt | Chiropractic | Rebirth Chiropractic LLC | 1700 Williams Blvd, Kenner, LA 70062-6262 |
| Chris David Mckeown | Chiropractic | Rebirth Chiropractic LLC | 1700 Williams Blvd, Kenner, LA 70062-6262 |
| Raman Singh | Internal Medicine | American Current Care Pa | 1600 Williams Blvd, Concentra Urgent Care, Kenner, LA 70062-6304 |
| Huy Q Nguyen | Family Medicine | Quynh Mai Clinic LLC | 1308 Williams Blvd, Kenner, LA 70062-6508 |
| Huong V Nguyen | Family Medicine | Quynh Mai Clinic LLC | 1308 Williams Blvd, Kenner, LA 70062-6508 |
| Find all physicians in zip 70062 | |||
| City | KENNER |
| Zip Code | 70062 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KENNER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wallace E Jeanfreau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.