Tina L Creekmore, MD | |
7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 | |
(225) 765-6453 | |
(225) 768-2424 |
Full Name | Tina L Creekmore |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 7301 Hennessy Blvd, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942410980 | NPI | - | NPPES |
1072052 | Medicaid | LA | |
07057 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 026892 (Louisiana) | Secondary |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | N2454 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
---|---|
Tina L Creekmore, MD 4499 Medical Dr Ste 235, San Antonio, TX 78229-3712 Ph: (210) 692-1613 | Tina L Creekmore, MD 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 Ph: (225) 765-6453 |
Kenneth C. Cranor, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-0173 Fax: 225-769-1730 | |
Dr. Michael R Robichaux Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 | |
Dr. Barry Michael Rills, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 | |
Dr. John Marshall Whatley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7980 | |
John F Loupe, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2223 Quail Run Ste G, Baton Rouge, LA 70808 Phone: 225-406-7222 Fax: 225-286-2964 | |
Tabitha Lynn Franklin, CST/CSFA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810 Phone: 225-408-6633 Fax: 225-408-7965 | |
Timothy Charles Bowlin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7980 |