John G Jackson, MD | |
13030 Highway 308, Larose, LA 70373-2001 | |
(985) 798-7000 | |
(985) 798-7021 |
Full Name | John G Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 13030 Highway 308, Larose, 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 |
---|---|---|---|
1063497683 | NPI | - | NPPES |
1030589 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD15556 (Oregon) | Secondary |
207Q00000X | Family Medicine | MD019331 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lady Of The Sea General Hospital | Cut off, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lafourche Parish Hospital Service District No 1 | 2264342229 | 21 |
Entity Name | Lafourche Parish Hospital Service District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932256542 PECOS PAC ID: 2264342229 Enrollment ID: O20040331000277 |
Entity Name | Lafourche Parish Hospital Service District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831260793 PECOS PAC ID: 2264342229 Enrollment ID: O20040604000183 |
Mailing Address | Practice Location Address |
---|---|
John G Jackson, MD 13030 Highway 308, Larose, LA 70373-2001 Ph: (985) 798-7000 | John G Jackson, MD 13030 Highway 308, Larose, LA 70373-2001 Ph: (985) 798-7000 |
Darren J. Duet, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 753 Industrial Park Rd, Larose, LA 70373 Phone: 985-601-4839 Fax: 985-693-1439 | |
Dr. Camille Callais Pitre, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 13030 Hwy 308, Larose, LA 70373 Phone: 985-798-7000 Fax: 985-798-7021 | |
Amanda Olivier Rogers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13030 Highway 308, Larose, LA 70373 Phone: 985-798-7000 Fax: 985-798-7021 |