Wayne Alexis Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Prairieville, LA
NPI 1851070932 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1851070932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 14353 Bluff Pass Dr
Prairieville, LA 70769-3287 - Phone
- (225) 363-0118
- NPI assigned
- Jul 14, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007199518 | LA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A F Group Management Co | Current |
Accepting new patients | |
| A G Enterprises | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 007199518 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
14353 Bluff Pass Dr
Prairieville, LA 70769-3287
Mailing address
14353 Bluff Pass Dr
Prairieville, LA 70769-3287
Phone (225) 363-0118
Other providers in Prairieville, LA
- Donna Paninski Aguillard
- Kylie Aiken
- Morton Joseph Aime
- Kathryn Alexander
- Terrance Alexander
- Allergy Associates, PA
- Ally Mental Health, LLC
- Alpha Neuro, LLC
- Ashley Nicole Altmon
- David Anthony Alvarez
All providers in Prairieville, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.