Mr Jacob Boone Anderson, | |
1514 Jefferson Hwy, New Orleans, LA 70121-2483 | |
(504) 842-3260 | |
Not Available |
Full Name | Mr Jacob Boone Anderson |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1514 Jefferson Hwy, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538658158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 338120 (Louisiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
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Mr Jacob Boone Anderson, 4653 Clara St Apt B, New Orleans, LA 70115-6364 Ph: (865) 742-5406 | Mr Jacob Boone Anderson, 1514 Jefferson Hwy, New Orleans, LA 70121-2483 Ph: (504) 842-3260 |
Carrie Aline Stewart, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave, New Orleans, LA 70112 Phone: 256-658-1406 | |
Dr. Harold A Fuselier, MD Urology Medicare: Medicare Enrolled Practice Location: 2820 Napoleon Ave, Suite 890, New Orleans, LA 70115 Phone: 504-412-1366 Fax: 504-412-1367 | |
Dr. Nathan Samuel Wexler, M.D. Urology Medicare: Medicare Enrolled Practice Location: 6050 Annunciation St, New Orleans, LA 70118 Phone: 504-897-3088 Fax: 504-891-1326 | |
Dr. David C Benson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St Fl 5, New Orleans, LA 70112 Phone: 504-702-4333 | |
Dr. Raju Thomas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, Urology Clinic, New Orleans, LA 70112 Phone: 504-988-2300 Fax: 504-988-7655 | |
Louis Spencer Krane, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-2750 | |
Dr. Aaron D Martin, M.D., M.P.H Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Henry Clay Ave, New Orleans, LA 70118 Phone: 504-896-9233 Fax: 504-896-9861 |