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David R Carver

Family Medicine

Allopathic & Osteopathic Physicians

8585 Picardy Ave, Ste. 513, Baton Rouge, LA 70809-3679

PECOS Enrollment

This provider is enrolled in PECOS as DAVID CARVER.

Based on the most recent information from CMS, provider David R Carver is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1235135948
Provider Type
Individual
Full Name
Carver, David R
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/27/2005
Last Updated
9/16/2014

Contact Information

Practice Location

8585 Picardy Ave, Ste. 513, Baton Rouge, LA 70809-3679

(225) 819-1188

(225) 819-1189

Mailing Location

8490 Picardy Ave, Bldg 200, Baton Rouge, LA 70809-3731

(225) 237-1754

(225) 237-1722

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 020116 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 1384879	Description Medicaid	Issuer Unlisted Louisiana
ID 080114706	Description Other	Issuer RAILROAD MEDICARE Louisiana

David R Carver

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Gaspard, Brad J.

Baton Rouge General Physicians, Inc.

Reddy, Shilpa Mainampati

Braden, Chad

Kermis, Rachael

Punukollu, Sumanth

Anderson, Derek James

Shissler, William Richard

Tessier, Charles R

Zheng, Yihong