Provider Demographics
NPI:1225127723
Name:CASESA, ANNEMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNEMARIE
Middle Name:
Last Name:CASESA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1200
Mailing Address - Country:US
Mailing Address - Phone:504-821-7085
Mailing Address - Fax:504-304-2276
Practice Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Practice Address - Street 2:SUITE 325
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1200
Practice Address - Country:US
Practice Address - Phone:504-821-7085
Practice Address - Fax:504-304-2276
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2029962084P0800X
SC281722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1225127723Medicaid
LA1915891Medicaid
MS00981801Medicaid