OrganizationBaton Rouge General Primary Care, Llc(Minsky And Carver Medical Center For Personal Wellness)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address8585 Picardy Ave, Suite 513, Baton Rouge, LA 70809-3679(225) 819-1198(225) 237-1754PECOS EnrollmentBased on the most recent information from CMS, provider Baton Rouge General Primary Care, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669760948Provider TypeOrganizationFull NameBaton Rouge General Primary Care, LlcOther NameMinsky And Carver Medical Center For Personal WellnessSubpartYesEnumeration Date7/20/2011Last Updated12/8/2015Contact InformationPractice LocationPractice Address8585 Picardy Ave, Suite 513, Baton Rouge, LA 70809-3679Phone(225) 819-1198Fax(225) 819-1189Mailing LocationMailing Address8490 Picardy Ave, Bldg 200, Baton Rouge, LA 70809-3731Phone(225) 237-1754Fax(225) 237-1722Authorized OfficialNameJohnson, Kendall (C.F.O.)Phone(225) 237-1645Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID5DV54DescriptionOtherIssuerMEDICARE GROUP PTANLouisiana