MEDICARE: DR. HELEN KAYE HEDGEMON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	06831R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00184	OTHER	LA	CIGNA PROVIDER #
2	1354368	OTHER	LA	KID MED PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1200142	OTHER	LA	UNITED HEALTH PROVIDER #
6	4087033	OTHER	LA	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1487681359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN KAYE HEDGEMON M.D.

Provider Business Mailing Address
First Line	:	624 CHEVELLE CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6502
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-925-2142

Provider Business Practice Location Address
First Line	:	624 CHEVELLE CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-6502
Country	:	US
Telephone Number	:	225-925-2055
Fax Number	:	225-925-2142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/09/2007

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