Dr Robert Mackinnon Raulerson, MD | |
920 Oliver Rd, Monroe, LA 71201-5702 | |
(318) 807-4951 | |
(318) 812-0808 |
Full Name | Dr Robert Mackinnon Raulerson |
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Gender | Male |
Speciality | General Practice |
Experience | 39 Years |
Location | 920 Oliver Rd, Monroe, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720021363 | NPI | - | NPPES |
1374580 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 018874 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forsythe Family Medical Clinic, Llc | 7810278231 | 2 |
Entity Name | Affinity Health Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Entity Name | Forsythe Family Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184173650 PECOS PAC ID: 7810278231 Enrollment ID: O20161227000057 |
Mailing Address | Practice Location Address |
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Dr Robert Mackinnon Raulerson, MD 3339 Deborah Dr, Monroe, LA 71201-2150 Ph: () - | Dr Robert Mackinnon Raulerson, MD 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 807-4951 |
Benjamin M Stage, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1136 Oliver Rd, Monroe, LA 71201 Phone: 318-322-3250 Fax: 318-322-3260 | |
Helena G Altick, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2804 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-387-2545 | |
Dr. Theresa J Ross, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 112 Saint John St, Monroe, LA 71201 Phone: 318-387-5681 Fax: 318-322-9957 |