Cassandra Koid Jia Shin, MB BCH BAO | |
200 Henry Clay Ave, New Orleans, LA 70118-5798 | |
(504) 899-9511 | |
Not Available |
Full Name | Cassandra Koid Jia Shin |
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Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 200 Henry Clay Ave, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215460639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 338503 (Louisiana) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 338503 (Louisiana) | Primary |
Entity Name | Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043230873 PECOS PAC ID: 3971401944 Enrollment ID: O20031229000715 |
Entity Name | Childrens Hospital Medical Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073 |
Mailing Address | Practice Location Address |
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Cassandra Koid Jia Shin, MB BCH BAO 200 Henry Clay Ave, New Orleans, LA 70118-5798 Ph: (504) 899-9511 | Cassandra Koid Jia Shin, MB BCH BAO 200 Henry Clay Ave, New Orleans, LA 70118-5798 Ph: (504) 899-9511 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |