MEDICARE: MCLEOD AND ASSOCIATES

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	332BX2000X	Oxygen Equipment & Supplies (DME)

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	:	1730184649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLEOD AND ASSOCIATES

Provider Business Mailing Address
First Line	:	3100 5TH ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1711
Country	:	US
Telephone Number	:	504-834-2781
Fax Number	:	504-834-2782

Provider Business Practice Location Address
First Line	:	3100 5TH ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1711
Country	:	US
Telephone Number	:	504-834-2781
Fax Number	:	504-834-2782

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BOB PELLEGRIN
Credential	:
Telephone Number	:	504-834-2781

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/22/2023

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Directions to “MCLEOD AND ASSOCIATES ” Practice Location

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