Mario Kakazu, MD is a
Physical Medicine & Rehabilitation physician based in Kenner, Louisiana. Mario Kakazu is licensed to practice in Louisiana (license number MD.05311R) and his current practice location is 2552 Williams Blvd, Kenner, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 463-3002.
NPI number for Mario Kakazu is 1366421562 and his current mailing address is Po Box 2490, Marrero, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366421562.
Physician's Profile
Full Name | Mario Kakazu |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 2552 Williams Blvd, Kenner, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366421562
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 06/30/2021
Medical Identifiers
Medical identifiers for Mario Kakazu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366421562 | NPI | - | NPPES |
1317128 | Medicaid | LA | |
G6438 | Other | LA | BLUECROSS BLUESHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 05311R (Louisiana) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD.05311R (Louisiana) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Kakazu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mario Kakazu, MD Po Box 2490, Marrero, LA 70073-2490 Ph: (504) 762-8909 | Mario Kakazu, MD 2552 Williams Blvd, Kenner, LA 70062-5538 Ph: (504) 463-3002 |
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