Jessica Soumee Koller Gorham, MD | |
1514 Jefferson Hwy, New Orleans, LA 70121 | |
(504) 842-0663 | |
Not Available |
Full Name | Jessica Soumee Koller Gorham |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 12 Years |
Location | 1514 Jefferson Hwy, New Orleans, 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 |
---|---|---|---|
1538428974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 18252 (New Hampshire) | Secondary |
208600000X | Surgery | 310247 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, 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 | South Louisiana Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
Mailing Address | Practice Location Address |
---|---|
Jessica Soumee Koller Gorham, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Jessica Soumee Koller Gorham, MD 1514 Jefferson Hwy, New Orleans, LA 70121 Ph: (504) 842-0663 |
Danielle M Pickham, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3000 | |
Dr. Carlos Galvani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-6855 | |
Amanda Tullos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1430 Tulane Ave Rm 734, New Orleans, LA 70112 Phone: 501-920-4647 | |
David S Bruce, M. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, New Orleans, LA 70121 Phone: 504-842-4000 | |
Dr. Robert M. Arensman, MD Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Hernan Antonio Bazan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 07012 Phone: 504-842-4053 Fax: 504-842-5017 | |
Kiara Tulla, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave # 8622, New Orleans, LA 70112 Phone: 504-988-2306 |