Rachael Mayer Jackson, MD | |
311 Veterans Blvd Ste B, Denham Springs, LA 70726-4726 | |
(225) 665-4554 | |
(225) 665-6995 |
Full Name | Rachael Mayer Jackson |
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Gender | Female |
Speciality | Pediatrics |
Location | 311 Veterans Blvd Ste B, Denham Springs, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427445659 | NPI | - | NPPES |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
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Rachael Mayer Jackson, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 665-4554 | Rachael Mayer Jackson, MD 311 Veterans Blvd Ste B, Denham Springs, LA 70726-4726 Ph: (225) 665-4554 |
Dr. Brian E Zganjar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1213 North Range Ave, Denham Springs, LA 70726 Phone: 225-665-6677 | |
Dr. Karim Yanery Suazo-flores, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 Veterans Blvd, Suite B, Denham Springs, LA 70726 Phone: 225-665-4554 Fax: 225-665-6995 | |
Dr. Thiravat Choojitarom, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 311 Veterans Blvd, Suite B, Denham Springs, LA 70726 Phone: 225-665-4554 Fax: 225-665-6995 | |
Mohamed Badi Salahi Asbahi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Veterans Blvd, Ste C, Denham Springs, LA 70726 Phone: 225-664-8010 Fax: 225-664-8012 |