Dr Alan Ray Perego, MD | |
4502 Highway 951, Jackson, LA 70748 | |
(225) 634-0341 | |
(225) 634-4464 |
Full Name | Dr Alan Ray Perego |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4502 Highway 951, Jackson, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588783716 | NPI | - | NPPES |
0112399 00 | Medicaid | MD | |
1918750 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 020903 (Louisiana) | Primary |
Entity Name | Convenient Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
Entity Name | East Louisiana State Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043206543 PECOS PAC ID: 6002853835 Enrollment ID: O20050413000902 |
Mailing Address | Practice Location Address |
---|---|
Dr Alan Ray Perego, MD 520 Plantation Ridge Ln, Baton Rouge, LA 70810-5051 Ph: (225) 767-8332 | Dr Alan Ray Perego, MD 4502 Highway 951, Jackson, LA 70748 Ph: (225) 634-0341 |
Dr. Patrick G Mccrossen, DDS MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4502 Louisiana Hwy 951, Jackson, LA 70748 Phone: 225-634-0413 | |
Dr. Gabriel I Onor Sr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4502 Highway 951, Eastern La Mental Health System, Jackson, LA 70748 Phone: 225-634-0224 Fax: 225-634-0213 | |
Nnamdi Andrew Nwabueze, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3050 Charles Dr, Jackson, LA 70748 Phone: 225-634-3517 |