Dr Frederick Erwin Hackley, MD | |
8535 Myrtlelake Dr, Baton Rouge, LA 70810-6631 | |
(225) 810-6320 | |
Not Available |
Full Name | Dr Frederick Erwin Hackley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8535 Myrtlelake Dr, 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 |
---|---|---|---|
1104963800 | NPI | - | NPPES |
1321460 | Medicaid | LA | |
04807394 | Medicaid | MS | |
05798R | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.05798R (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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 | Lake Urgent Care Ascension Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
Mailing Address | Practice Location Address |
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Dr Frederick Erwin Hackley, MD 8535 Myrtlelake Dr, Baton Rouge, LA 70810-6631 Ph: (225) 810-6320 | Dr Frederick Erwin Hackley, MD 8535 Myrtlelake Dr, Baton Rouge, LA 70810-6631 Ph: (225) 810-6320 |
Dr. Roderick A. Hart Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 North Blvd, Baton Rouge, LA 70806 Phone: 601-454-9462 | |
Dr. Brent Oliver Campanella, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5131 Essen Ln, Baton Rouge, LA 70809 Phone: 225-769-0043 Fax: 225-769-0133 | |
Robert Dwight Brower, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7037 Woodstock Dr, Baton Rouge, LA 70809 Phone: 225-975-8680 | |
Kristin Wemple Morvant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16777 Medical Center, Baton Rouge, LA 70816 Phone: 225-754-3278 | |
Dr. Tamika Session Mayo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 North Blvd, Ste 360, Baton Rouge, LA 70806 Phone: 225-381-2712 Fax: 225-381-2715 | |
Gregory F Ferrara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13828 Coursey Blvd, Baton Rouge, LA 70817 Phone: 225-751-1544 Fax: 225-751-1909 | |
James Michael Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7566 Picardy Ave, Baton Rouge, LA 70808 Phone: 225-765-5500 Fax: 225-256-1400 |