Individual ProviderCharles R TessierFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address5475 Essen Lane, Baton Rouge, LA 70809(225) 767-2750PECOS EnrollmentBased on the most recent information from CMS, provider Charles R Tessier does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 9 days ago.Profile DetailsProvider ID1366521379Provider TypeIndividualFull NameTessier, Charles RCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5475 Essen Lane, Baton Rouge, LA 70809Phone(225) 767-2750Fax(225) 767-2832Mailing LocationMailing Address5475 Essen Lane, Baton Rouge, LA 70809Phone(225) 767-2750Fax(225) 767-2832Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense014900LouisianaProvider IdentifiersIDDescriptionIssuerID1316580DescriptionMedicaidIssuerUnlistedLouisiana