Jack William Heidenreich, MD | |
111 Acadia Drive, Raceland, LA 70394-2619 | |
(985) 537-7575 | |
(985) 537-7584 |
Full Name | Jack William Heidenreich |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 111 Acadia Drive, Raceland, 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 |
---|---|---|---|
1316944374 | NPI | - | NPPES |
1901407 | Medicaid | LA | |
02635262 | Medicaid | MS | |
080192843 | Other | LA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.020478 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Home Health Of Raceland | Raceland, LA | Home health agency |
Ochsner St Anne General Hospital | Raceland, LA | Hospital |
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Terrebonne General Medical Center | Houma, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Ochsner Bayou Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396761805 PECOS PAC ID: 0244242840 Enrollment ID: O20061104000387 |
Mailing Address | Practice Location Address |
---|---|
Jack William Heidenreich, MD 111 Acadia Drive, Raceland, LA 70394-2619 Ph: (985) 537-7575 | Jack William Heidenreich, MD 111 Acadia Drive, Raceland, LA 70394-2619 Ph: (985) 537-7575 |
Michael Joseph Marcello, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Acadia Dr., Raceland, LA 70394 Phone: 985-537-7575 | |
Andre Dennie Duplantis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Acadia Dr, Raceland, LA 70394 Phone: 985-537-7575 | |
Lidonna M Lancaster, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Onofrio A. Lococo Dr., Raceland, LA 70394 Phone: 985-532-3804 |