Macantoine Louis-jacques, MD | |
514 N Prospect Ave Ste 100, Redondo Beach, CA 90277-3036 | |
(310) 376-2707 | |
Not Available |
Full Name | Macantoine Louis-jacques |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 514 N Prospect Ave Ste 100, Redondo Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790723773 | NPI | - | NPPES |
100504307 | Medicaid | AZ | |
453100002 | Other | AZ | AHCCCS |
100504307 | Medicaid | NV | |
AZ0768070 | Other | AZ | BCBS OF ARIZONA |
P00151557 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 31796 (Arizona) | Secondary |
207L00000X | Anesthesiology | 31796 (Arizona) | Primary |
Entity Name | Tucson Physician Group Holdings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
Entity Name | Sandman Anesthesia Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467089300 PECOS PAC ID: 6305267154 Enrollment ID: O20200602002750 |
Mailing Address | Practice Location Address |
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Macantoine Louis-jacques, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Macantoine Louis-jacques, MD 514 N Prospect Ave Ste 100, Redondo Beach, CA 90277-3036 Ph: (310) 376-2707 |
George E Alexander, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1711 Via El Prado, 202, Redondo Beach, CA 90277 Phone: 310-316-1764 Fax: 310-316-1764 | |
Dr. Shahed S Rahman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 407 N Pacific Coast Hwy Ste 250, Redondo Beach, CA 90277 Phone: 949-610-9348 | |
Dr. Peter Bruce Mendelsohn, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 514 N Prospect Ave, Ste 100, Redondo Beach, CA 90277 Phone: 310-376-2707 |