Immacula Saint-louis
MD | Pediatrics | Female
Immacula Saint-louis, MD is a Wilson, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Immacula Saint-louis is
303 Green St E, Wilson, North Carolina - 27893-4105. She can be contacted on phone at
252-243-9800 and fax number 252-243-9888.
Immacula Saint-louis is a sole proprietor of her business.
NPI number (Unique professional ID) for Immacula Saint-louis is
1356449144 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 30 Oct, 2017.
Immacula Saint-louis license number is
2005-01289 for Pediatrics (208000000X) in North Carolina.
Immacula Saint-louis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Immacula Saint-louis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Immacula Saint-louis |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Immacula Saint-louis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 303 Green St E
Wilson, NC, 27893-4105
United States |
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| Phone Number : | 252-243-9800 |
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| Fax Number : | 252-243-9888 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356449144 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 30 Oct, 2017 |
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Medicare Participation:
Immacula Saint-louis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9234104506 |
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| Medicare Enrollment ID : | I20120730000643 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Tufts University School Of Medicine |
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| Graduation Year : | 1993 |
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| Accepts Medicare? | Yes. Immacula Saint-louis accepts medicare insurance. |
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Group Practice Association:
Immacula Saint-louis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Immacula Saint-louis is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| | | 2109 Saint Andrew St
Suite 15aand16
Tarboro, NC - 278862149
Ph: 2526415452 | May accept |
| Positive Generation In Christ Incorporated | 6800138835 | 2 | 2109 Saint Andrew St
Tarboro, NC - 278862149
Ph: 2526414522 | Yes |
| Positive Generation In Christ Incorporated | 6800138835 | 2 | 608 Gregg Ave
Suite 102103
Florence, SC - 295014317
Ph: 8433194161 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Immacula Saint-louis are as mentioned. Primary taxonomy code for Immacula Saint-louis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207QA0401X | Family Medicine Addiction Medicine | No | 2005-01289 | NC |
| 208000000X | Pediatrics | Yes | 2005-01289 | NC |
| 208000000X | Pediatrics | No | 151877 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Immacula Saint-louis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3196209 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 303 Green St E
Wilson, NC, 27893-4105
United States |
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| Phone Number : | 252-243-9800 |
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| Fax Number : | 252-243-9888 |
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Business Location:
Patients can refer following map for directions to
Immacula Saint-louis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.