Dr Courtney Jacobs, MD | |
864 S Clearview Pkwy, Apt 136, River Ridge, LA 70123-6323 | |
(781) 696-2530 | |
Not Available |
Full Name | Dr Courtney Jacobs |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 864 S Clearview Pkwy, River Ridge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558723429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 0101267326 (Virginia) | Primary |
207L00000X | Anesthesiology | 0101267326 (Virginia) | Secondary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Entity Name | Childrens Hospital Of The Kings Daughters Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578954590 PECOS PAC ID: 0941265284 Enrollment ID: O20150623001707 |
Mailing Address | Practice Location Address |
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Dr Courtney Jacobs, MD 864 S Clearview Pkwy, Apt 136, River Ridge, LA 70123-6323 Ph: (781) 696-2530 | Dr Courtney Jacobs, MD 864 S Clearview Pkwy, Apt 136, River Ridge, LA 70123-6323 Ph: (781) 696-2530 |
Richard Doskey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9605 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-1604 Fax: 504-738-7860 | |
Meghan Jones, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8908 Ormond Pl, River Ridge, LA 70123 Phone: 504-610-1171 | |
Denise Goodfellow Kerut, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9605 Jefferson Highway, River Ridge, LA 70123 Phone: 504-738-1604 Fax: 504-738-7860 | |
Anas Youssef Khouri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-1604 Fax: 504-738-7860 | |
Mary Hulin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Jefferson Hwy Ste E, River Ridge, LA 70123 Phone: 504-738-1604 Fax: 504-738-7860 | |
Janine Lissard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9605 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-1604 Fax: 504-738-7860 |