Samer Bakhos, MD | |
7534 Highway 1, Lockport, LA 70374-3437 | |
(800) 979-9595 | |
(248) 662-9845 |
Full Name | Samer Bakhos |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7534 Highway 1, Lockport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194997338 | NPI | - | NPPES |
1073075 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 204682 (Louisiana) | Secondary |
207Q00000X | Family Medicine | 204682 (Louisiana) | Primary |
Entity Name | Jefferson Davis Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942679352 PECOS PAC ID: 7517269152 Enrollment ID: O20160113001922 |
Entity Name | Juban Point Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033589379 PECOS PAC ID: 3678871217 Enrollment ID: O20160414000463 |
Entity Name | Regional Medical Partners, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366803405 PECOS PAC ID: 8022316256 Enrollment ID: O20160506000553 |
Mailing Address | Practice Location Address |
---|---|
Samer Bakhos, MD 21333 Haggerty Rd., Suite 150, Novi, MI 48375-5514 Ph: (800) 979-9595 | Samer Bakhos, MD 7534 Highway 1, Lockport, LA 70374-3437 Ph: (800) 979-9595 |
Yvette Marie Deslatte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1015 Crescent Ave, Lockport, LA 70374 Phone: 985-532-1620 |