Dr Jeffrey H Loose, MD | |
1202 S Tyler St, Covington, LA 70433-2330 | |
(985) 898-4097 | |
(985) 871-5755 |
Full Name | Dr Jeffrey H Loose |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1202 S Tyler St, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942298666 | NPI | - | NPPES |
2381288 | Medicaid | LA | |
10931337 | Other | LA | CAQH PROVIDER ID |
Entity Name | The Delta Pathology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139 |
Mailing Address | Practice Location Address |
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Dr Jeffrey H Loose, MD Po Box 731280, Dallas, TX 75373-1280 Ph: (318) 841-9526 | Dr Jeffrey H Loose, MD 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4097 |
Sharon K Tomberlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4417 | |
Pamela M Bartholomew, M D Pathology Medicare: Accepting Medicare Assignments Practice Location: 67241 Industry Ln, Covington, LA 70433 Phone: 985-892-7206 Fax: 985-892-9990 | |
Dr. Kim Sutker Kaye, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-4046 | |
Dr. Gloria Battle Coker, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 71250 Hendry Ave, Covington, LA 70433 Phone: 985-892-7130 Fax: 985-893-0590 | |
Dr. Jordan Andrew Roberts, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-4046 |