Kori Fogg Juban, in Walker, LA - Medicare Nurse Practitioner

Kori Fogg Juban, is a medicare enrolled "Nurse Practitioner" in Walker, Louisiana. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of The Lake Physician Group Llc and her current practice location is 5000 Odonavan Blvd Ste 404, Walker, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 369-8100.

Kori Fogg Juban is licensed to practice in Louisiana (license number AP09218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346761301.

Contact Information

	Kori Fogg Juban,
	5000 Odonavan Blvd Ste 404, Walker, LA 70785-6355
	(225) 369-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Kori Fogg Juban
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	5000 Odonavan Blvd Ste 404, Walker, 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.

Medical Education and Training:

Kori Fogg Juban graduated from nursing school in 2016

NPI Data:

NPI Number: 1346761301
Provider Enumeration Date: 06/29/2017
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5496026825
Enrollment ID: I20170803002063

Medical Identifiers

Medical identifiers for Kori Fogg Juban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346761301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP09218 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kori Fogg Juban allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kori Fogg Juban is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kori Fogg Juban, 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727	Kori Fogg Juban, 5000 Odonavan Blvd Ste 404, Walker, LA 70785-6355 Ph: (225) 369-8100

Reviews and Comments

Nurse Practitioner Nurses in Walker, LA

Mrs. Michelle Marie Civello, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28050 Walker South Rd, Walker, LA 70785 Phone: 225-664-2111 Fax: 225-664-2888
Mrs. Caitlyn Beaman Piper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30458 Jo Ann St, Walker, LA 70785 Phone: 225-892-5263
Mrs. Catherine Blackwell Holland, ADULT NURSE PRACTITI Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14151 Glen Ellis Rd, Walker, LA 70785 Phone: 225-664-9968
Erin Lagroue, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Odonavan Blvd Ste 404, Walker, LA 70785 Phone: 225-369-8100 Fax: 225-369-8140
Judith Cordsiemon Moore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27999 Old Sth Walker Rd Ste H, Walker, LA 70785 Phone: 225-999-5901
Kim V Gatlin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13466 Vera Mcgowan Rd, Walker, LA 70785 Phone: 225-380-1720 Fax: 225-380-1719

Kori Fogg Juban, - Medicare Nurse Practitioner in Walker, LA