Mandeville Private Physician Group
NPI 1437553617ActiveOrganization· Family Medicine· Covington, LA
Family Medicine in Covington, Louisiana, registered in NPPES in October 2014. The authorized official on file is Richard Michael Jeansonne, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437553617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2014 |
| Last updated in NPPES | May 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 025708 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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