Mark Anthony Portacci, MD | |
706 Ross Street, Oak Grove, LA 71263 | |
(318) 428-3237 | |
(318) 428-6180 |
Full Name | Mark Anthony Portacci |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 706 Ross Street, Oak Grove, 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 |
---|---|---|---|
1265500490 | NPI | - | NPPES |
1330957 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0015833 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy National Hospice, Llc | Natchitoches, LA | Hospice |
Jackson Parish Hospital | Jonesboro, LA | Hospital |
Forest Haven Nursing & Rehab Ctr, Llc | Jonesboro, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana Family Medicine Clinic 1 | 4183889009 | 6 |
Entity Name | West Carroll Health Systems, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386700888 PECOS PAC ID: 5294627774 Enrollment ID: O20040402000229 |
Entity Name | Louisiana Family Medicine Clinic 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379 |
Mailing Address | Practice Location Address |
---|---|
Mark Anthony Portacci, MD 706 Ross Street, Oak Grove, LA 71263 Ph: (318) 428-3237 | Mark Anthony Portacci, MD 706 Ross Street, Oak Grove, LA 71263 Ph: (318) 428-3237 |
C M Domingue, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-3237 Fax: 318-428-7896 | |
Eric Arbuckle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Ross St, Oak Grove, LA 71263 Phone: 318-428-2358 Fax: 318-428-2350 | |
Erin Newton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-6130 | |
Noli Guinigundo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Ross St, Oak Grove, LA 71263 Phone: 318-428-3237 Fax: 318-428-6180 |