Dr Roger Harvey Cook, MD | |
1111 Medical Ctr. Blvd., Ste. S-850, Marrero, LA 70072 | |
(504) 349-6450 | |
(504) 349-6454 |
Full Name | Dr Roger Harvey Cook |
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Gender | Male |
Speciality | Family Medicine |
Location | 1111 Medical Ctr. Blvd., Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043218340 | NPI | - | NPPES |
12677523 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0071012 (Maryland) | Secondary |
207Q00000X | Family Medicine | 206252 (Louisiana) | Primary |
Entity Name | West Jefferson Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417966193 PECOS PAC ID: 4486546215 Enrollment ID: O20040326000847 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Harvey Cook, MD 1111 Medical Ctr. Blvd., Ste. S-850, Marrero, LA 70072 Ph: (504) 349-6450 | Dr Roger Harvey Cook, MD 1111 Medical Ctr. Blvd., Ste. S-850, Marrero, LA 70072 Ph: (504) 349-6450 |
Michele T Lagarde-may, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-371-9355 | |
Dr. Pramela R Ganji, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Ste 304 North, Marrero, LA 70072 Phone: 504-349-6325 Fax: 504-349-6327 | |
Dr. Brigetta Desiree Yancy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Barataria Blvd, Marrero, LA 70072 Phone: 504-340-6711 Fax: 504-348-3935 | |
Dr. Michael Russo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Suite S-555, Marrero, LA 70072 Phone: 504-349-6808 Fax: 504-349-6811 | |
Ms. Krystal Mitchell, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 Patriot St, Marrero, LA 70072 Phone: 504-371-1318 Fax: 504-371-1328 | |
Dr. Elie Y Lao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-371-9355 |