Jacob Dwayne Labatut, | |
8585 Picardy Ave Ste 110, Baton Rouge, LA 70809-3749 | |
(225) 767-0822 | |
(225) 769-5424 |
Full Name | Jacob Dwayne Labatut |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 8585 Picardy Ave Ste 110, 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 |
---|---|---|---|
1003555624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN154204 (Louisiana) | Secondary |
363L00000X | Nurse Practitioner | 226191 (Louisiana) | Primary |
Entity Name | Texas Digestive Disease Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154837391 PECOS PAC ID: 3375531379 Enrollment ID: O20180125001639 |
Mailing Address | Practice Location Address |
---|---|
Jacob Dwayne Labatut, 39438 Highway 929, Prairieville, LA 70769-4927 Ph: (225) 323-3999 | Jacob Dwayne Labatut, 8585 Picardy Ave Ste 110, Baton Rouge, LA 70809-3749 Ph: (225) 767-0822 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 | |
Celeste Buuck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 | |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 | |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 | |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 | |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |