Dr Rafine Moreno-jackson, MD | |
1890 W Gauthier Rd Ste 135, Lake Charles, LA 70605-7179 | |
(337) 480-5510 | |
(337) 480-5511 |
Full Name | Dr Rafine Moreno-jackson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 11 Years |
Location | 1890 W Gauthier Rd Ste 135, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164833802 | NPI | - | NPPES |
2578014 | Medicaid | LA | |
329404 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME141744 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | 329404 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lcms Obstetrics And Gynecology Llc | 9537353123 | 3 |
Entity Name | Lcms Obstetrics And Gynecology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649582065 PECOS PAC ID: 9537353123 Enrollment ID: O20101027001081 |
Mailing Address | Practice Location Address |
---|---|
Dr Rafine Moreno-jackson, MD 16082 Sw 63rd Ter, Miami, FL 33193-5576 Ph: (787) 568-9065 | Dr Rafine Moreno-jackson, MD 1890 W Gauthier Rd Ste 135, Lake Charles, LA 70605-7179 Ph: (337) 480-5510 |
Alice Monroe Babst, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd Ste G, Lake Charles, LA 70605 Phone: 337-562-3747 Fax: 337-562-3694 | |
Donald R. Parker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Rd, Bldg E-4, Lake Charles, LA 70605 Phone: 337-477-1358 | |
Armand C. Grimshaw, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1890 W Gauthier Rd, Suite 200, Lake Charles, LA 70605 Phone: 337-474-5519 Fax: 337-474-6313 | |
Karen Marie Fisher, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd Ste 9, Lake Charles, LA 70605 Phone: 337-419-0900 Fax: 337-602-6446 | |
Cynthia Jean Scott, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Rd, Ste B-7, Lake Charles, LA 70605 Phone: 337-474-3307 Fax: 337-474-3308 | |
Eugene Fontenot, M.D.12 Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, Lake Charles, LA 70605 Phone: 337-474-2056 Fax: 337-477-9334 |