MEDICARE: DR. MELISSA R BARRETT MD

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	208D00000X	General Practice Physician	MD026258	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	5DV84	OTHER	LA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245329325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA R BARRETT MD

Provider Business Mailing Address
First Line	:	11055 SHOE CREEK DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-4022
Country	:	US
Telephone Number	:	225-261-4493
Fax Number	:	866-657-2791

Provider Business Practice Location Address
First Line	:	3907 S SHERWOOD FRST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4363
Country	:	US
Telephone Number	:	225-367-6189
Fax Number	:	225-341-3988

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/29/2024

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Directions to “ DR. MELISSA R BARRETT MD” Practice Location

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