Alicia Castleberry Kober, MD | |
9001 Summa Avenue, Baton Rouge, LA 70809-3726 | |
(225) 761-5404 | |
Not Available |
Full Name | Alicia Castleberry Kober |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9001 Summa Avenue, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073724365 | NPI | - | NPPES |
07533817 | Medicaid | MS | |
00191 | Medicaid | LA | |
1000191 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD.203091 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Alicia Castleberry Kober, MD 1514 Jefferson Highway, New Orleans, LA 70121 Ph: (504) 842-4000 | Alicia Castleberry Kober, MD 9001 Summa Avenue, Baton Rouge, LA 70809-3726 Ph: (225) 761-5404 |
Manish Gope Raisingani, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-1733 | |
Traci T. Lacy, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044 | |
Dr. Michelle L Flechas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810 Phone: 225-769-2003 Fax: 225-767-3055 | |
Dr. Richard Francis Lasseigne Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809 Phone: 225-374-1410 Fax: 225-374-1616 | |
Dr. Horace Jay Collinsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806 Phone: 225-765-5633 Fax: 225-765-5634 | |
Myriam Aracelis Ortiz-de Jesus', MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818 Phone: 225-761-5200 | |
Kelly Elizabeth Ordemann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8415 Goodwood Blvd Ste 202, Baton Rouge, LA 70806 Phone: 225-765-8013 Fax: 225-765-2033 |