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 33 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