Dr Tomas Humberto Jacome Jr, MD | |
7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 | |
(225) 765-2048 | |
(225) 765-1958 |
Full Name | Dr Tomas Humberto Jacome Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 7777 Hennessy Blvd Ste 102, Baton Rouge, 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 |
---|---|---|---|
1477554079 | NPI | - | NPPES |
09102317 | Medicaid | MS | |
1575674 | Medicaid | LA | |
363070 | Other | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 025420 (Louisiana) | Secondary |
208600000X | Surgery | 025420 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Dr Tomas Humberto Jacome Jr, MD 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 Ph: (225) 765-2048 | Dr Tomas Humberto Jacome Jr, MD 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 Ph: (225) 765-2048 |
Dr. John Mcalister Whitaker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 612, Baton Rouge, LA 70808 Phone: 225-769-5656 Fax: 225-766-6996 | |
James William Mcneil Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1008, Baton Rouge, LA 70808 Phone: 225-766-0416 Fax: 225-769-9212 | |
Dr. Jeffrey C Littleton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 North Blvd, Ste 200-b, Baton Rouge, LA 70806 Phone: 225-381-2615 Fax: 225-381-2638 | |
Mr. Victor Q Tran, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809 Phone: 225-769-4493 Fax: 225-766-3144 | |
Daryl S Marx, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 612, Baton Rouge, LA 70808 Phone: 225-769-5656 Fax: 225-766-6996 | |
Jeffrey Scott Gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808 Phone: 225-765-2048 Fax: 225-765-1958 | |
Mrs. Megan Mcintosh Breaux, NP Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 406, Baton Rouge, LA 70808 Phone: 225-765-2048 Fax: 225-765-1958 |