Jody Neal Domingue, | |
15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | |
(985) 345-2700 | |
Not Available |
Full Name | Jody Neal Domingue |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 15790 Paul Vega Md Dr, Hammond, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215966387 | NPI | - | NPPES |
1678741 | Medicaid | LA | |
430035514 | Other | RR MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP02656 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Oaks Medical Center, L L C | Hammond, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Oaks Medical Center Llc | 2466629522 | 229 |
Entity Name | North Oaks Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
Mailing Address | Practice Location Address |
---|---|
Jody Neal Domingue, 15790 Paul Vega Md Drive, Credentialing, Hammond, LA 70403-3087 Ph: (985) 345-2700 | Jody Neal Domingue, 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 Ph: (985) 345-2700 |
Mark Edwin Koepp, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-6685 Fax: 985-230-2173 | |
August J Klohn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 42570 S Airport Rd, Hammond, LA 70403 Phone: 985-510-6135 Fax: 985-510-6202 | |
Emmy Beatty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 42144 Veterans Ave, Hammond, LA 70403 Phone: 985-542-6344 | |
Katrina A Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Medical Center Drive, Hammond, LA 70403 Phone: 985-345-2700 | |
Brandy S. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-2198 Fax: 985-230-2159 | |
Melanie Stevens Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2159 |