Look up the most recent NPI and PECOS records

Charles R Tessier

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CHARLES TESSIER.

Based on the most recent information from CMS, provider Charles R Tessier is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1366521379
Provider Type
Individual
Full Name
Tessier, Charles R
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/2/2006
Last Updated
7/8/2007

Contact Information

Practice Location

5475 Essen Lane, Baton Rouge, LA 70809

(225) 767-2750

(225) 767-2832

Mailing Location

5475 Essen Lane, Baton Rouge, LA 70809

(225) 767-2750

(225) 767-2832

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 014900 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 1316580	Description Medicaid	Issuer Unlisted Louisiana

Charles R Tessier

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

Roslyn M Tabor Md Llc

James, Trenton L.

Yorek, Michael Wayne

Carver, David R

Kenny, Rosalind Nicole

Thomas, Marykutty J

Sugarman, Nathan

Meiners, Rebecca K

Shaw, Vincent Lee

Love, Melissa Bagwell