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The experienced team at Primary Care Plus – Slidell brings you quality primary care medicine, as well as a wide range of specialized services. We are committed to providing you with the comprehensive care you deserve.

Same Day or Next Day Appointments Available for Current Patients

Office Hours:

7:00 a.m. to 4:30 p.m.
Monday through Thursday

7:00 a.m. to 2:00 p.m.

1520 Gause Blvd.
Slidell, LA 70458


Patient Forms

Download and fill out PDF forms prior to your visit.

Our Providers

Miguel A. Culasso, M.D.

Family Medicine 

Dr. Miguel Culasso earned a Doctor of Medicine in 1971 from the National University of Córdoba in Córdoba, Argentina. He completed an internship at the United States Public Health Service Hospital in New Orleans in 1974 and a residency in internal medicine at the Hospital Iturraspe in Santa Fe, Argentina, in 1975. Additionally, Dr. Culasso served as an emergency room physician at Charity Hospital in New Orleans, where he later completed his residency in emergency medicine in 1977.

Following completion of his residency, Dr. Culasso entered private practice. He has been practicing internal medicine in the St. Tammany parish area for more than 40 years.

Dr. Culasso is board-certified in emergency medicine.


Family Medicine 

Daphne Dureau is a nurse practitioner who specializes in family medicine. She earned a Bachelor of Science in Nursing from Dallas Baptist University and a Master of Science in Nursing from Loyola University New Orleans.

Prior to joining Primary Care Plus, Daphne served as a family nurse practitioner at Family Heath Care & Wellness Center in Hammond, and from 2016 through 2019 she served in a number of roles at Benchmark Urgent & Family Care in Metairie, including research director and provider, manager of urgent care, assistant director of clinical trials and quality control coordinator. She also worked at Benchmark Research as the associate site director, nurse practitioner trial investigator and quality control coordinator.

Daphne is a board-certified family nurse practitioner. She’s a member of the Association of Clinical Research Professionals (ACRP) and a former president and current board member of the Southeast Louisiana ACRP chapter.

Brittany Loupe, DNP

Family Medicine – Slidell Clinic

Brittany Loupe earned a bachelor’s degree in nursing and a doctorate in nursing practice from the Louisiana State University School of Nursing in New Orleans.

Prior to joining Primary Care Plus, Brittany served as a family nurse practitioner with Gulfsouth Hospital Medicine in Covington. She previously worked as a registered nurse for Ochsner Health, where she specialized in post-operative surgical services.

Brittany is a board-certified family nurse practitioner. She is a member of the American Academy of Nurse Practitioners and the Louisiana Association of Nurse Practitioners.

Mary Palmer

Cardiovascular Sonography

Mary Palmer earned a bachelor’s degree in kinesiology from Louisiana State University in 2014. She then earned a bachelor’s degree in cardiopulmonary science from the Louisiana State University Health Sciences Center in New Orleans.

Prior to joining Primary Care Plus, Mary served as a cardiovascular sonographer at the St. Thomas Heart and Vascular Center and the Cardiovascular Institute of the South. Most recently, she worked as a cardiac sonographer at East Jefferson General Hospital in Metairie.

Mary is certified in adult echocardiography, vascular technology, and sonography principles and instrumentation by the American Registry for Diagnostic Medical Sonography. She is also certified in basic life support by the American Red Cross.

Vern Palmisano, M.D.

Family Medicine  

Dr. Vern Palmisano earned a bachelor’s degree in chemistry from Millsaps College in Jackson, Mississippi. He then earned a Doctor of Medicine from the Louisiana State University School of Medicine in New Orleans, where he also completed a residency in family medicine.

Dr. Palmisano served as a family medicine physician for Ochsner Health for 27 years. Prior to joining Primary Care Plus, he also worked as a primary care physician in the St. Tammany Health System and an assistant professor for the Louisiana State University rural family medicine residency program.

Dr. Palmisano is board certified in family medicine and specializes in treatment for vertigo and dizziness. He is a member of the American Academy of Family Physicians.



Dr. George Thomas earned his
Bachelor of Medicine-Bachelor of Surgery degree from St. John’s Medical College in Bangalore, India. After graduation he completed residencies both in India and at the New Rochelle Department of Medicine in New York. He completed his cardiology fellowship at Tulane University School of Medicine in 1983 and began teaching at the university.

Dr. Thomas joined the staff at Tulane University Medical Center in 1984. During that time, he also began working at Veterans Administration Medical Center and Charity Hospital of New Orleans.

In 1993, Dr. Thomas started Northlake Cardiology Associates, Inc. in Slidell. He spent nearly 28 years there and retained privileges at Northshore Regional Medical Center, Slidell Memorial Hospital, Lakeview Regional Medical Center and Crosby Memorial Hospital in Picayune, Miss. Dr. Thomas joined Primary Care Plus in 2021.

Dr. Thomas is board-certified in internal medicine and in cardiovascular disease with privileges at Slidell Memorial Hospital and Ochsner Medical Center – Northshore. He is a fellow in the American College of Cardiology, a member of the Musser-Burch Society and past president of the St. Tammany Parish Medical Society.

We offer a wide range of healthcare services

Primary Care Plus – Slidell offers convenient appointments for primary care, including routine physicals, immunizations, and treatment for illness and injury.

    We accept most insurance plans. Call us for more information.