Agrippa Gayden Robert Jr, MD | |
15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | |
(985) 230-1682 | |
(985) 230-1617 |
Full Name | Agrippa Gayden Robert Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 15790 Paul Vega Md Dr, Hammond, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720010606 | NPI | - | NPPES |
370008389 | Other | RR MEDICARE | |
00052293 | Medicaid | MS | |
1341754 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD.016278 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | MD.016278 (Louisiana) | Primary |
Entity Name | Lasalle Parish Hospital Service District #1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
Entity Name | North Oaks Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
Entity Name | Rapid Urgent Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285970780 PECOS PAC ID: 0840437174 Enrollment ID: O20130506000203 |
Mailing Address | Practice Location Address |
---|---|
Agrippa Gayden Robert Jr, MD Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-1332 | Agrippa Gayden Robert Jr, MD 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 Ph: (985) 230-1682 |
Dr. Mark Evans Haile, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1332 Fax: 985-230-1334 | |
Dr. Matthew Thomas Bernard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 | |
Dr. Thomas Alfred Reinecke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Revenue Management Department, Hammond, LA 70403 Phone: 985-230-1682 Fax: 985-230-1617 | |
Rachel Elizabeth Shard, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1300 | |
Elizabeth Clair, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
James Wilkinson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-6480 | |
Richard Wayne Foster, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1900 S Morrison Blvd, Hammond, LA 70403 Phone: 985-230-5726 Fax: 985-230-5683 |