Jessica F Coffee, RD | |
2647 S Saint Elizabeth Blvd Ste 221, Gonzales, LA 70737-5020 | |
(225) 765-5500 | |
(225) 644-2023 |
Full Name | Jessica F Coffee |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 25 Years |
Location | 2647 S Saint Elizabeth Blvd Ste 221, Gonzales, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548525165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1554 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Provider Name | Our Lady Of Lake Ascension, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
Provider Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Jessica F Coffee, RD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0001 | Jessica F Coffee, RD 2647 S Saint Elizabeth Blvd Ste 221, Gonzales, LA 70737-5020 Ph: (225) 765-5500 |
Roxanne Campbell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1024 South East Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-2822 | |
Maureen Rogers Breaux, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-664-1205 Fax: 225-644-5367 | |
Kelsee Michelle Moran, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1024 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-2822 | |
Tamisha Molden, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 609 Saint Francis Pkwy Apt 4204, Gonzales, LA 70737 Phone: 225-341-0509 | |
Cheri S Landry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 |