Joe Marie Jose Dizon, MD | |
5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | |
(225) 765-4050 | |
(225) 765-4046 |
Full Name | Joe Marie Jose Dizon |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 5000 Hennessy Blvd, Baton Rouge, 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 |
---|---|---|---|
1053627869 | NPI | - | NPPES |
2351711 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301096030 (Michigan) | Secondary |
207R00000X | Internal Medicine | 206398 (Louisiana) | Secondary |
208M00000X | Hospitalist | 206398 (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 |
---|---|
Joe Marie Jose Dizon, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0001 | Joe Marie Jose Dizon, MD 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 Ph: (225) 765-4050 |
Melanie Jeanne Mcknight, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 409, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Zhe Zheng, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9001 Summa Ave, Baton Rouge, LA 70809 Phone: 225-761-5370 | |
Dr. Jason Aaron Hannegan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 | |
Mrs. Kierra Mitchell, NP Hospitalist Medicare: Medicare Enrolled Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 | |
Dr. Sandeep M Chadha, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 | |
Dr. Maria Teresa Evangelista-dean, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 | |
Richie Rose Tulagan Diaz, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 |